Organization
MONARCH PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET DIXON LSCSW (THERAPIST/OWNER)
(785) 218-1829
Entity
Organization
Contact information
Practice address
947 NEW HAMPSHIRE ST, SUITE 209, LAWRENCE, KS 66044-3073
(785) 218-1829
Mailing address
947 NEW HAMPSHIRE ST, SUITE 209, LAWRENCE, KS 66044-3073
(785) 218-1829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4383
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860730B
—
KS
Enumeration date
11/13/2014
Last updated
11/13/2014
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