Individual
MRS. DEBRA LYNN WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(620) 794-6744
Mailing address
931 MARY ST, EMPORIA, KS 66801-3336
(620) 794-6744
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/03/2023
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