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1164793055
LYDIA KATHLEEN DIEBOLT
LAWRENCE, KS
NPI
1164793055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 7643)
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
Ms. LYDIA KATHLEEN DIEBOLT
204 W 13TH ST
LAWRENCE, KS 66044-3404
Phone number: 785-843-2039
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Mailing Address
Ms. LYDIA KATHLEEN DIEBOLT
1229 VERMONT ST
LAWRENCE, KS 66044-3233
Phone number: 785-843-2039
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