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Individual

MR. JEFFREY SWAILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMLP

Contact information

Practice address
1803 E DOUGLAS AVE, WICHITA, KS 67211-1611
(316) 285-9517
(316) 633-4283
Mailing address
1803 E DOUGLAS AVE, WICHITA, KS 67211-1611
(316) 285-9517
(316) 633-4283

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2666
KS

Other

Enumeration date
02/20/2017
Last updated
02/20/2017
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