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Individual

TASIA K FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMLP

Contact information

Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
(620) 326-6662
Mailing address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
(620) 326-6662

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2473
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201076600A
KS
Enumeration date
07/02/2013
Last updated
06/10/2015
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