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1932349073
TIMOTHY D HERONEMUS
FORT RILEY, KS
NPI
1932349073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 1285)
Enumeration Date
2009-03-03
Last Update Date
2009-03-03
Business Address
-- TIMOTHY D HERONEMUS LCSCW
600 CAISSON HILL RD
FORT RILEY, KS 66442-7037
Phone number: 785-239-7208
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Mailing Address
-- TIMOTHY D HERONEMUS LCSCW
600 CAISSON HILL RD
FORT RILEY, KS 66442-7037
Phone number: 785-239-7208
Copy
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