BLUE MOON THERAPY LLC

WICHITA, KS
NPI1205319472
Entity TypeOrganization
Authorized ContactSHANNON D. GOODWIN
Clinical Social Worker
316-249-4447
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2018-09-12
Last Update Date2018-09-12
Business Address
BLUE MOON THERAPY LLC
400 N WOODLAWN SUITE 100
WICHITA, KS 67216-1360
Phone number: 316-652-2580
Mailing Address
BLUE MOON THERAPY LLC
1215 E JUMP ST
WICHITA, KS 67216-1360
Phone number: 316-249-4447
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