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1053865501
HEATHER AMY BURT
WICHITA, KS
NPI
1053865501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1450)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
Miss HEATHER AMY BURT TLAC
212 N HILLSIDE ST
WICHITA, KS 67214-4935
Phone number: 316-558-3066
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Mailing Address
Miss HEATHER AMY BURT TLAC
212 N HILLSIDE ST
WICHITA, KS 67214-4935
Phone number: 316-558-3066
Copy
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