BRADLEY W. BASE

WICHITA, KS
NPI1710944905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  1129)
Enumeration Date2006-05-01
Last Update Date2024-12-09
Business Address
BRADLEY W. BASE M.A.
322 S LAURA AVE
WICHITA, KS 67211-1517
Phone number: 316-789-4193
Mailing Address
BRADLEY W. BASE M.A.
322 S LAURA AVE
WICHITA, KS 67211-1517
Phone number: 316-789-4193
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