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Individual

WILMA LOUISE DAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
KIPBS CERTIFICATED

Contact information

Practice address
1400 LINCOLN, LAKIN, KS 67860
(620) 355-1468
(620) 355-1469
Mailing address
109 ALBERT ST, LAKIN, KS 67860-9746
(620) 355-1468
(620) 355-1469

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
06-03
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215058516
KS
Enumeration date
10/23/2009
Last updated
10/23/2009
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