PETSAMON CHANTHALOME

LENEXA, KS
NPI1811356959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: KS  9520)
Additional Taxonomies104100000X Social Worker
(Licence: MO  2015022687)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
-- PETSAMON CHANTHALOME LMSW
24007 W 80TH TER
LENEXA, KS 66227-2203
Phone number: 913-850-3069
Mailing Address
-- PETSAMON CHANTHALOME LMSW
24007 W 80TH TER
LENEXA, KS 66227-2203
Phone number: 913-850-3069