Individual
STACY JOLYNN SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2101 US HIGHWAY 50 BYP, DODGE CITY, KS 67801-2230
(620) 227-8566
(620) 225-8566
Mailing address
2101 US HIGHWAY 50 BYP, DODGE CITY, KS 67801-2230
(620) 227-8566
(620) 225-8566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2149
KS
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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