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1548532005
KATINA VICE FRIESEN
WICHITA, KS
NPI
1548532005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KS 3006)
Enumeration Date
2012-01-31
Last Update Date
2012-01-31
Business Address
-- KATINA VICE FRIESEN CCC-SLP
854 N SOCORA ST
WICHITA, KS 67212-3288
Phone number: 316-729-6236
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Mailing Address
-- KATINA VICE FRIESEN CCC-SLP
502 S NINEIRON ST
WICHITA, KS 67235-3410
Phone number: 316-260-4981
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