Individual
MANDY JO GLASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 N PINE GROVE ST, WICHITA, KS 67205-2013
(316) 250-3724
Mailing address
2414 N PINE GROVE ST, WICHITA, KS 67205-2013
(316) 250-3724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
KS
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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