Individual
SANDRA I ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMFT
Contact information
Practice address
345 RIVERVIEW ST, LL2, WICHITA, KS 67203-4200
(316) 262-5253
(316) 262-7202
Mailing address
345 RIVERVIEW ST, LL2, WICHITA, KS 67203-4200
(316) 262-5253
(316) 262-7202
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
452
KS
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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