SearchKansas104100000X

Toni Detherage, LMSW

NPI 1477804383 · on the registry since 2012 · sole proprietor

Practice

Address
490 Hutton Cir
Lawrence, KS 66049
Phone
(785) 691-5653

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas