Individual
GRACE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 N 159TH ST E, WICHITA, KS 67230-7704
(316) 530-1493
Mailing address
450 N 159TH ST E, WICHITA, KS 67230-7704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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