Individual
LAURA LEE KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(785) 377-4744
Mailing address
8901 E HARRY ST APT 408, WICHITA, KS 67207-4713
(316) 775-8920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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