Individual
RILEY BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10209 W CENTRAL AVE STE 1, WICHITA, KS 67212-4685
(316) 302-4104
Mailing address
10209 W CENTRAL AVE STE 1, WICHITA, KS 67212-4685
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03508-T
KS
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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