Individual
MICHELENE DAVIDSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
5002 E CENTRAL AVE, STE B, WICHITA, KS 67208-4166
(316) 682-9723
(316) 682-6951
Mailing address
220 N EDGEMOOR ST, WICHITA, KS 67208-4419
(316) 682-9723
(316) 682-6951
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
027
KS
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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