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1588120752
CAROLYN STACEY FARRIS
GREAT BEND, KS
NPI
1588120752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KS 3375)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
CAROLYN STACEY FARRIS TLPC
809 S PATTON RD
GREAT BEND, KS 67530-4625
Phone number:
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Mailing Address
CAROLYN STACEY FARRIS TLPC
PO BOX 1223
GREAT BEND, KS 67530-1223
Phone number: 620-796-2206
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