Individual
KRISTINA MARIE NAILLIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 831-0330
(316) 837-9569
Mailing address
4155 E. HARRY STREET, WICHITA, KS 67218
(316) 831-0330
(316) 837-9569
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2714
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481030087
—
KS
Enumeration date
11/05/2015
Last updated
11/05/2015
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