WAYNE J ROTH

WICHITA, KS
NPI1578515284
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
WAYNE J ROTH
940 N WACO AVE
WICHITA, KS 67203-3947
Phone number: 316-660-7550
Mailing Address
WAYNE J ROTH
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600