TRACIE DAVIS

WICHITA, KS
NPI1861746109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  701)
Enumeration Date2012-11-08
Last Update Date2012-11-08
Business Address
-- TRACIE DAVIS LAC
8911 E ORME ST SUITE A
WICHITA, KS 67207-2423
Phone number: 316-686-7884
Mailing Address
-- TRACIE DAVIS LAC
8918 W 21ST ST N #200-284
WICHITA, KS 67205-1885
Phone number: 316-686-7884