Individual
WANDA EASTERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5845 HORTON ST, SUITE 205, MISSION, KS 66202-2600
(913) 708-5123
Mailing address
5845 HORTON ST, SUITE 205, MISSION, KS 66202-2600
(913) 708-5123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
KS
Other
Enumeration date
01/29/2014
Last updated
01/14/2015
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