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1346836087
JAQUELINE LOPEZ
WICHITA, KS
NPI
1346836087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KS 03217-T)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
JAQUELINE LOPEZ
825 N WACO AVE STE 200
WICHITA, KS 67203-3939
Phone number: 316-201-6047
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Mailing Address
JAQUELINE LOPEZ
825 N WACO AVE STE 200
WICHITA, KS 67203-3939
Phone number: 316-201-6047
Copy
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