KILLIAN JAMES DERUSHA

LAWRENCE, KS
NPI1851811756
Former NameSIERRA DESTINY DERUSHA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KS  10470)
Enumeration Date2017-06-21
Last Update Date2022-10-27
Business Address
KILLIAN JAMES DERUSHA LMSW
1311 WAKARUSA DR STE 2100
LAWRENCE, KS 66049-4775
Phone number: 785-424-7770
Mailing Address
KILLIAN JAMES DERUSHA LMSW
1311 WAKARUSA DR STE 2100
LAWRENCE, KS 66049-4775
Phone number:
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