Individual
MRS. SHERRY ANN HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, LCPC
Contact information
Practice address
6525 E MAINSGATE RD, WICHITA, KS 67226-1062
(660) 722-0830
Mailing address
7325 E OXFORD CT, WICHITA, KS 67226-1712
(660) 722-0830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
915
KS
Other
Enumeration date
11/12/2018
Last updated
12/07/2018
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