Individual
WARREN TYLER TANDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 N RIVERVIEW ST STE 730, WICHITA, KS 67203-4267
(316) 202-2110
Mailing address
307 N VOLUTSIA AVE, WICHITA, KS 67214-4626
(316) 708-1990
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-03325
KS
106H00000X
Marriage & Family Therapist
LMFT-03325-T
KS
Other
Enumeration date
11/08/2021
Last updated
01/25/2023
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