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1841342383
SHANNON PETRICEK
WICHITA, KS
NPI
1841342383
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Former Name
SHANNON RENEE TALLENT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KS 726)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- SHANNON PETRICEK LMFT
7701 E KELLOGG DR STE. 300
WICHITA, KS 67207-1706
Phone number: 316-660-9600
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Mailing Address
-- SHANNON PETRICEK LMFT
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600
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