Individual
BARBARA SUE MENNINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
1811 W MCKEE ST, WICHITA, KS 67203-2942
(316) 655-3747
Mailing address
1811 W MCKEE ST, WICHITA, KS 67203-2942
(316) 655-3747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
743
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200592170A
—
KS
Enumeration date
01/22/2009
Last updated
11/25/2011
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