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1184447641
JACOB CHARLES HUDANICK
WICHITA, KS
NPI
1184447641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KS 04885-T)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
JACOB CHARLES HUDANICK LPC-T
555 N WOODLAWN ST
WICHITA, KS 67208-3646
Phone number: 636-248-5979
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Mailing Address
JACOB CHARLES HUDANICK LPC-T
3324 E SUNFLOWER DR
DERBY, KS 67037-8688
Phone number: 636-248-5979
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