DONALD MZHICKTENO

LAWRENCE, KS
NPI1861818940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  735)
Enumeration Date2014-03-12
Last Update Date2014-03-12
Business Address
-- DONALD MZHICKTENO
1739 E 23RD ST
LAWRENCE, KS 66046-5017
Phone number: 785-830-8238
Mailing Address
-- DONALD MZHICKTENO
1739 E 23RD ST
LAWRENCE, KS 66046-5017
Phone number:
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