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Organization
CHANGING TIMES 2020 VISION LLC
Active
Organization
CHANGING TIMES 2020 VISION LLC
Active
Other names
Changing Times
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY CLEMETSON (DIRECTOR OF BILLING)
(913) 475-7713
Entity
Organization
Contact information
Practice address
2601 ANDERSON AVE STE 202, MANHATTAN, KS 66502-2809
(785) 422-3049
(785) 214-5018
Mailing address
2601 ANDERSON AVE STE 207, MANHATTAN, KS 66502-2809
(785) 422-3049
(785) 214-5018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
04/23/2024
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