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Organization

ANOTHER CHANCE THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN COLE LISW (OWNER)
(937) 765-6790
Entity
Organization

Contact information

Practice address
560 S TURQUOISE ST, WICHITA, KS 67209-1707
(937) 765-6790
Mailing address
PO BOX 75414, WICHITA, KS 67275-5414
(937) 765-6790

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0337296
OH
Enumeration date
01/20/2023
Last updated
11/22/2023
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Product
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