Individual
MS. MARYANN MARIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1223 N ROCK RD, BLDG. G SUITE 100, WICHITA, KS 67206-1269
(316) 636-2888
Mailing address
1215 N PRESCOTT ST, WICHITA, KS 67212-6820
(316) 807-1037
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2454
KS
Other
Enumeration date
03/03/2013
Last updated
06/06/2013
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