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1063622884
JUSTIN MICHAEL THAW
WICHITA, KS
NPI
1063622884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 6010)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN MICHAEL THAW LMSW
4505 E 47TH ST S
WICHITA, KS 67210-1651
Phone number: 316-529-9130
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Mailing Address
Mr. JUSTIN MICHAEL THAW LMSW
900 W BROADWAY ST
NEWTON, KS 67114-2037
Phone number: 316-283-1950
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