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1912568270
ALICIA ANN CAMACHO
WICHITA, KS
NPI
1912568270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1644)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
ALICIA ANN CAMACHO TLAC
551 S HOLLAND ST
WICHITA, KS 67209-2007
Phone number: 316-796-5775
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Mailing Address
ALICIA ANN CAMACHO TLAC
551 S HOLLAND ST
WICHITA, KS 67209-2007
Phone number: 316-796-5775
Copy
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