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1417472903
SACIA QUATTLEBAUM
WICHITA, KS
NPI
1417472903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 336)
Enumeration Date
2017-08-07
Last Update Date
2022-07-21
Business Address
SACIA QUATTLEBAUM MA, LMAC-T
714 S HILLSIDE ST
WICHITA, KS 67211-3002
Phone number: 316-295-4800
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Mailing Address
SACIA QUATTLEBAUM MA, LMAC-T
714 S HILLSIDE ST
WICHITA, KS 67211-3002
Phone number: 316-295-4800
Copy
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