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Individual

JASON SOUTHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
8000 W 127TH ST, OVERLAND PARK, KS 66213-2714
(913) 951-4300
(913) 951-4321
Mailing address
5924 REEDS RD, APT # 103, MISSION, KS 66202-3439
(620) 875-3906
(816) 508-3535

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10176
KS

Other

Enumeration date
01/23/2017
Last updated
01/23/2017
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