ANGIE C INDRA

EMPORIA, KS
NPI1932244464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: KS  783)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- ANGIE C INDRA
1000 LINCOLN ST
EMPORIA, KS 66801-2449
Phone number: 620-343-2211
Mailing Address
-- ANGIE C INDRA
1000 LINCOLN ST
EMPORIA, KS 66801-2449
Phone number: 620-343-2211
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