DAVE L PROVORSE

EMPORIA, KS
NPI1083828651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  1038)
Enumeration Date2007-05-10
Last Update Date2025-01-26
Business Address
-- DAVE L PROVORSE PhD
1000 LINCOLN ST
EMPORIA, KS 66801-2449
Phone number: 620-343-2211
Mailing Address
-- DAVE L PROVORSE PhD
1000 LINCOLN ST
EMPORIA, KS 66801-2449
Phone number: 620-343-2211
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