Individual
RYAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
200 MAINE ST, SUITE A, LAWRENCE, KS 66044-1368
(785) 843-9192
(785) 843-6744
Mailing address
200 MAINE ST, SUITE A, LAWRENCE, KS 66044-1368
(785) 843-9192
(785) 843-6744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10054
KS
Other
Enumeration date
08/13/2015
Last updated
08/17/2016
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