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Organization

INDIVIDUAL AND FAMILY SYSTEMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS ELEANOR KAY SHIVE LCMFT (DIRECTOR)
(316) 689-8787
Entity
Organization

Contact information

Practice address
2024 N WOODLAWN ST STE 409, WICHITA, KS 67208-1879
(316) 689-8787
(316) 688-9897
Mailing address
2024 N WOODLAWN ST STE 409, WICHITA, KS 67208-1879
(316) 689-8787
(316) 688-9897

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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