Individual
SYLVIA ANN DES LAURIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 BROADWAY, GREAT BEND, KS 67530
(620) 792-2544
Mailing address
5815 BROADWAY, GREAT BEND, KS 67530
(620) 792-2544
(620) 792-7052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCP 097
KS
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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