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1174584635
PHILLIIP G WALLSMITH
TOPEKA, KS
NPI
1174584635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
-- PHILLIIP G WALLSMITH CADC
2010 NW LOGAN ST
TOPEKA, KS 66608-1800
Phone number: 785-273-2252
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Mailing Address
-- PHILLIIP G WALLSMITH CADC
5401 SW 7TH ST
TOPEKA, KS 66606-2330
Phone number: 785-273-2252
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