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Organization
MICHELLE OLIPHANT, LLC
Active
Organization
MICHELLE OLIPHANT, LLC
Active
Other names
Michelle Oliphant, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE OLIPHANT LMSW (SOLE OWNER)
(316) 500-3711
Entity
Organization
Contact information
Practice address
4601 E DOUGLAS AVE STE 120, WICHITA, KS 67218-1032
(316) 500-3711
Mailing address
4601 E DOUGLAS AVE STE 120, WICHITA, KS 67218-1032
13165003711
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10366
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201157740A
—
KS
Enumeration date
07/26/2017
Last updated
06/16/2018
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