Individual
KITRA CHANNELLE MWANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 N ROCK RD BLDG 100, WICHITA, KS 67226-1328
(316) 247-0083
Mailing address
3500 N ROCK RD BLDG 100, WICHITA, KS 67226-1328
(316) 247-0083
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03385
KS
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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