Individual
MRS. IRIS MICHAEL PAULY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
217 W IRA CT, ANDOVER, KS 67002-9469
(316) 733-5047
Mailing address
11010 RYAN ST, WICHITA, KS 67205-6021
(316) 773-7891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCP 257
KS
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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