WANDA SHAW

WICHITA, KS
NPI1770907438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  237)
Enumeration Date2014-02-14
Last Update Date2014-02-14
Business Address
-- WANDA SHAW
1319 W MAY ST
WICHITA, KS 67213-3505
Phone number: 316-262-0505
Mailing Address
-- WANDA SHAW
3932 N AMIDON AVE
WICHITA, KS 67204-3405
Phone number: 316-262-0505
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