Individual
CISSY JO STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 N MARKET ST STE A, WICHITA, KS 67214-3530
(316) 201-6047
Mailing address
2101 W MACARTHUR RD LOT 824, WICHITA, KS 67217-6027
(316) 841-8301
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3130
KS
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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