SHANE GOLDWATER

WICHITA, KS
NPI1679399448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-11-26
Last Update Date2025-02-26
Business Address
SHANE GOLDWATER
1319 W MAY ST
WICHITA, KS 67213-3505
Phone number: 316-223-7159
Mailing Address
SHANE GOLDWATER
1319 W MAY ST
WICHITA, KS 67213-3505
Phone number: 316-223-7159
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