MOLLY JOHANSEN PETRAK

LAWRENCE, KS
NPI1134737646
Former NameMOLLY JOHANSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: KS  03179)
Enumeration Date2020-07-21
Last Update Date2023-02-13
Business Address
MOLLY JOHANSEN PETRAK MA
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: 785-843-9192
Mailing Address
MOLLY JOHANSEN PETRAK MA
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: