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Organization

GLENDA RODGERS-LAWLESS, PH.D., LCPC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENDA S RODGERS-LAWLESS PH.D. (OWNER/CEO)
(913) 553-7858
Entity
Organization

Contact information

Practice address
4601 E DOUGLAS, WICHITA, KS 67218
(316) 337-5530
(316) 337-5531
Mailing address
4601 E DOUGLAS, WICHITA, KS 67218
(316) 337-5530
(316) 337-5531

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC 275
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200428700A
KS
Enumeration date
09/05/2012
Last updated
09/05/2012
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