WALLACE E HARVEY

WICHITA, KS
NPI1659625804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  391)
Enumeration Date2012-11-08
Last Update Date2012-11-08
Business Address
-- WALLACE E HARVEY LAC
8911 E ORME ST SUITE A
WICHITA, KS 67207-2423
Phone number: 316-686-7884
Mailing Address
-- WALLACE E HARVEY LAC
8918 W 21ST ST N #200-284
WICHITA, KS 67205-1885
Phone number: 316-686-7884
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