Individual
MRS. ADDISON LAINE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 N BATTIN ST, WICHITA, KS 67208-4108
(316) 516-1751
Mailing address
433 N BATTIN ST, WICHITA, KS 67208-4108
(316) 516-1751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3663
KS
235Z00000X
Speech-Language Pathologist
—
KS
Other
Enumeration date
05/13/2021
Last updated
05/19/2021
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