NATHAN Z MAGRUDER

WICHITA, KS
NPI1740528488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  852)
Enumeration Date2013-01-30
Last Update Date2024-09-30
Business Address
NATHAN Z MAGRUDER LAC
2944 S FERN ST
WICHITA, KS 67217-2426
Phone number: 316-218-7734
Mailing Address
NATHAN Z MAGRUDER LAC
2944 S FERN ST
WICHITA, KS 67217-2426
Phone number: 316-218-7734