Individual
MISS LAURY J DIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
730 HOLLY LANE, SALINA, KS 67401
(785) 452-4930
(785) 452-4932
Mailing address
730 HOLLY LANE, SALINA, KS 67401
(785) 452-4930
(785) 452-4932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4436
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200974070B
—
KS
Enumeration date
01/11/2013
Last updated
07/01/2022
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