Individual
CAITLYN SROUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10333 E 21ST ST N, 204, WICHITA, KS 67206-3543
(316) 630-8444
Mailing address
10333 E 21ST ST N, 204, WICHITA, KS 67206-3543
(316) 630-8444
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2729
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201121260A
—
KS
Enumeration date
03/03/2016
Last updated
03/03/2016
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