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1104100833
COUNTRYSIDE COUNSELING CENTER, LLC
INDEPENDENCE, KS
NPI
1104100833
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Entity Type
Organization
Authorized Contact
DEBRA LYNN HASTINGS
Executive Director
620-577-4955
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: KS 103T00000X)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
COUNTRYSIDE COUNSELING CENTER, LLC
601 MORNINGSIDE DR
INDEPENDENCE, KS 67301-1932
Phone number: 620-577-4955
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Mailing Address
COUNTRYSIDE COUNSELING CENTER, LLC
601 MORNINGSIDE DR
INDEPENDENCE, KS 67301-1932
Phone number: 620-577-4955
Copy
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