Individual
KATINA VICE FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
854 N SOCORA ST, WICHITA, KS 67212-3288
(316) 729-6236
Mailing address
502 S NINEIRON ST, WICHITA, KS 67235-3410
(316) 260-4981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3006
KS
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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