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1477804383
TONI LYNN DETHERAGE
LAWRENCE, KS
NPI
1477804383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: KS LMSW 8615)
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
Ms. TONI LYNN DETHERAGE LMSW
490 HUTTON CIR
LAWRENCE, KS 66049-4845
Phone number: 785-691-5653
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Mailing Address
Ms. TONI LYNN DETHERAGE LMSW
490 HUTTON CIR
LAWRENCE, KS 66049-4845
Phone number: 785-691-5653
Copy
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