Individual
MRS. JENNIFER LEIGH GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
6040 W MAPLE ST, WICHITA, KS 67209-2129
(316) 942-9021
Mailing address
7213 W BARRINGTON ST, WICHITA, KS 67212-7323
(316) 773-6634
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 054
KS
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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