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Individual

MRS. AMY JO DRISKILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LCMFT

Contact information

Practice address
4425 W ZOO BLVD, SUITE 3, WICHITA, KS 67212-1620
(316) 749-2007
(316) 749-2008
Mailing address
145 S BREEZY POINTE CT, WICHITA, KS 67235-1415
(316) 749-2007
(316) 943-5554

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
735
KS
106H00000X
Marriage & Family Therapist
Primary
LCMFT 735
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200443380E
KS
Enumeration date
08/13/2007
Last updated
01/19/2018
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