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Organization
SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER
Active
Organization
SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA CORCIMIGLIA (HR SPECIALIST)
(316) 755-5491
Entity
Organization
Contact information
Practice address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
Mailing address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
T-LMLP 2425
KS
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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