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Individual

SETH WESCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8629 BLUEJACKET ST, SUITE 100, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Mailing address
8629 BLUEJACKET ST, SUITE 100, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1034
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100306490A
KS
Enumeration date
01/08/2014
Last updated
01/20/2015
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