LARRY R NUSSBAUM

WICHITA, KS
NPI1235116575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  0858)
Enumeration Date2005-12-28
Last Update Date2007-07-08
Business Address
-- LARRY R NUSSBAUM LSCSW
547 N ROOSEVELT ST
WICHITA, KS 67208-3273
Phone number: 316-641-4925
Mailing Address
-- LARRY R NUSSBAUM LSCSW
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3506
Phone number: 316-759-5864
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