Individual
JORDAN BOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 LAMAR AVE, MISSION, KS 66202-3234
(913) 826-1533
Mailing address
1436 E HAVEN LN, OLATHE, KS 66062-1712
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2599
KS
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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