STACEY LARSON

WICHITA, KS
NPI1679507966
Former NameSTACEY WESCOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  2283)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
-- STACEY LARSON LSCSW
560 N. EXPOSITION
WICHITA, KS 67203
Phone number: 316-264-8317
Mailing Address
-- STACEY LARSON LSCSW
560 N. EXPOSITION
WICHITA, KS 67203
Phone number: 316-264-8317
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