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Individual

DR. FRED L MAYFIELD II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
THERAPIST

Contact information

Practice address
10965 GRANADA LN, SUITE 103, OVERLAND PARK, KS 66211-1401
(913) 491-4788
Mailing address
10965 GRANADA LN, SUITE 103, OVERLAND PARK, KS 66211-1401
(913) 491-4788

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
114
KS
106H00000X
Marriage & Family Therapist
97
KS

Other

Enumeration date
05/18/2007
Last updated
04/17/2019
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