Individual
ELIZABETH WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2441
KS
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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