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Individual

MANDY L WILDE-PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCPC

Contact information

Practice address
11011 KING ST, SUITE 230, OVERLAND PARK, KS 66210-1287
(913) 451-1377
(913) 768-0150
Mailing address
16113 W 145TH TER, OLATHE, KS 66062-2549
(913) 530-2089
(913) 768-0150

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2001022601
MO
101YP2500X
Professional Counselor
Primary
268
KS

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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