Provider First Line Business Practice Location Address:
5015 E 29TH ST N # DOORT
Provider Second Line Business Practice Location Address:
EVELYN H. CASSAT SPEECH-LANGUAGE HEARING CLINIC
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67220-2110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-978-3289
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2009