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Individual

ANGIE MARIE MOONEYHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. LMFT

Contact information

Practice address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 685-9311
(316) 685-6101
Mailing address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 685-9311
(316) 685-6101

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 651
KS

Other

Enumeration date
05/21/2007
Last updated
03/01/2013
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