Individual
TINA LASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2809 N BROADWAY ST STE E, PITTSBURG, KS 66762-2684
(620) 605-7332
Mailing address
710 LISA RD, PITTSBURG, KS 66762-2520
(620) 605-7332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4888
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201119530B
—
KS
Enumeration date
06/23/2015
Last updated
02/01/2021
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