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NPI 1346174331

NPI 1346174331 : LEAH JO MAXFIELD LMSW : PLEASANTON, KS

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General NPI Number Information
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    NPI Number           |    1346174331
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH JO MAXFIELD LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2026
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    Last Update Date     |    06/12/2026
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Provider Practice Location Address
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    Address Line         |    505 W 15TH ST 
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    City                 |    PLEASANTON
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    State                |    KS
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    Zip                  |    66075-4095
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    Country              |    US
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    Telephone            |    913-352-8214
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    Fax                  |    913-352-8236
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Provider Business Mailing Address
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    Address Line         |    1106 S 9TH ST 
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    City                 |    HUMBOLDT
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    State                |    KS
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    Zip                  |    66748-1934
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    Country              |    US
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    Telephone            |    620-473-2241
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    Fax                  |    620-473-3334
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    14711
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    License Number State |    KS
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