Individual
SHONDA L KOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T-MFT 03519-T
Contact information
Practice address
1221 N ROCK RD, DERBY, KS 67037-3678
(316) 789-8511
Mailing address
1431 E WOODBROOK CT, DERBY, KS 67037-9713
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03519-T
KS
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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