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1841713534
AMY IRSIK
WICHITA, KS
NPI
1841713534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1523)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
AMY IRSIK T-LAC
940 N WACO AVE
WICHITA, KS 67203-3947
Phone number: 316-660-7550
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Mailing Address
AMY IRSIK T-LAC
934 N WATER ST
WICHITA, KS 67203-3838
Phone number: 316-660-7600
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