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Individual

MS. NANCY JO DOTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.-CCC

Contact information

Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2730
Mailing address
11403 W HARDTNER AVE, WICHITA, KS 67212-4713
(316) 962-2730
(316) 962-7471

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0101
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101
KANSAS LICENSURE
KS
Enumeration date
08/27/2007
Last updated
08/27/2007
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