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1407404890
TERESA LEANNE HOUSTON
WICHITA, KS
NPI
1407404890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KS 432)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
MRS. TERESA LEANNE HOUSTON LMAC
610 N MAIN ST FL 2
WICHITA, KS 67203-3618
Phone number: 316-440-1600
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Mailing Address
MRS. TERESA LEANNE HOUSTON LMAC
610 N MAIN ST FL 2
WICHITA, KS 67203-3618
Phone number: 316-440-1600
Copy
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