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1811957509
LARISA CLARK NIGHTINGALE
TOPEKA, KS
NPI
1811957509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS LSCSW 1559)
Enumeration Date
2006-03-25
Last Update Date
2007-07-08
Business Address
-- LARISA CLARK NIGHTINGALE LSCSW
2200 SW GAGE BLVD
TOPEKA, KS 66622-0001
Phone number: 785-350-3111
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Mailing Address
-- LARISA CLARK NIGHTINGALE LSCSW
1700 VERMONT ST
LAWRENCE, KS 66044-4278
Phone number: 785-842-5732
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