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1134737646
MOLLY JOHANSEN PETRAK
LAWRENCE, KS
NPI
1134737646
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Former Name
MOLLY JOHANSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KS 03179)
Enumeration Date
2020-07-21
Last Update Date
2023-02-13
Business Address
MOLLY JOHANSEN PETRAK MA
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: 785-843-9192
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Mailing Address
MOLLY JOHANSEN PETRAK MA
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number:
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