STACY WHITE

WICHITA, KS
NPI1861807323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  407)
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
-- STACY WHITE LAC
3820 N TOBEN ST
WICHITA, KS 67226-2903
Phone number: 316-634-3954
Mailing Address
-- STACY WHITE LAC
130 E 5TH ST PO BOX 711
NEWTON, KS 67114-2206
Phone number: 316-283-6743
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