Individual
BRENDA TALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 COLLEGE BLVD, SUITE 212, LEAWOOD, KS 66211-1923
(913) 269-8173
Mailing address
5401 COLLEGE BLVD, SUITE 212, LEAWOOD, KS 66211-1923
(913) 269-8173
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2785
KS
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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