MIKETO MICHELLE KIRK

WICHITA, KS
NPI1740664648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  680)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
-- MIKETO MICHELLE KIRK A.A., LAC
2050 WEST 11TH ST.
WICHITA, KS 67203
Phone number: 316-267-5710
Mailing Address
-- MIKETO MICHELLE KIRK A.A., LAC
1902 E LOOMAN ST
WICHITA, KS 67219-4532
Phone number: 316-267-5710
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