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Individual

MR. JOHNSON OLANYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 267-2030
(316) 267-2007
Mailing address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 267-2030
(316) 267-2007

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4622
KS

Other

Enumeration date
09/13/2007
Last updated
09/13/2007
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