Individual
MIRANDA MARIE KOBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 TERRADYNE DR STE 209, ANDOVER, KS 67002-7941
(316) 730-3647
Mailing address
PO BOX 354, GODDARD, KS 67052-0354
(316) 730-3647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03291-T
KS
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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