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1255524229
KELLY LORRAINE SHIVELY
WICHITA, KS
NPI
1255524229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KS 1942)
Enumeration Date
2007-08-23
Last Update Date
2012-09-05
Business Address
Ms. KELLY LORRAINE SHIVELY LPC
1738 S MARTINSON
WICHITA, KS 67213-5799
Phone number: 316-293-9547
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Mailing Address
Ms. KELLY LORRAINE SHIVELY LPC
1738 S MARTINSON
WICHITA, KS 67213-5799
Phone number: 316-293-9547
Copy
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