Individual
SID MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2801 W 15TH ST N, WICHITA, KS 67203-1833
(620) 440-0999
Mailing address
2801 W 15TH ST N, WICHITA, KS 67203-1833
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 642
KS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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