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1174121826
CALEB MOISE RIVERA
WICHITA, KS
NPI
1174121826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KS 03204-T)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
CALEB MOISE RIVERA LMFT-T
6611 E CENTRAL AVE STE C
WICHITA, KS 67206-1937
Phone number: 316-650-1877
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Mailing Address
CALEB MOISE RIVERA LMFT-T
2719 S CARRWOOD CIR
WICHITA, KS 67215-1538
Phone number: 316-295-7296
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