TYSON BLAKE PROUSE

EL DORADO, KS
NPI1952587792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  T-LMLP 1146)
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
Mr. TYSON BLAKE PROUSE M.S., T-LMLP
120 S GORDY ST STE 3
EL DORADO, KS 67042-2900
Phone number: 316-321-6088
Mailing Address
Mr. TYSON BLAKE PROUSE M.S., T-LMLP
120 S GORDY ST STE 3
EL DORADO, KS 67042-2900
Phone number: 316-321-6088
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