JACKLYN R DERSTEIN

WICHITA, KS
NPI1407123680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: KS  1250)
Enumeration Date2011-11-16
Last Update Date2011-11-16
Business Address
-- JACKLYN R DERSTEIN LMFT
2604 W 9TH ST N
WICHITA, KS 67203-4731
Phone number: 316-295-4758
Mailing Address
-- JACKLYN R DERSTEIN LMFT
2561 S GREENWOOD ST
WICHITA, KS 67216-1255
Phone number: 316-734-8855
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