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1699106864
JACQUALINE NEELY
WICHITA, KS
NPI
1699106864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 105)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
-- JACQUALINE NEELY LAC
940 N WACO AVE
WICHITA, KS 67203-3947
Phone number: 316-660-7550
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Mailing Address
-- JACQUALINE NEELY LAC
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600
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