Individual
KARLISA RENEE BREWER-JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4031 E HARRY ST, WICHITA, KS 67218-3724
(316) 771-7335
(316) 771-7201
Mailing address
PO BOX 780898, WICHITA, KS 67278-0898
(316) 771-7335
(316) 771-7201
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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