Individual
MS. LANISHA MARIA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 MAINE ST, SUITE A, LAWRENCE, KS 66044-1390
(785) 843-9192
(785) 843-6744
Mailing address
200 MAINE ST, SUITE A, LAWRENCE, KS 66044-1390
(785) 843-9192
(785) 843-6744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW 8711
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097940A
—
KS
Enumeration date
04/09/2013
Last updated
04/09/2013
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