Provider First Line Business Practice Location Address:
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-371-1414
Provider Business Practice Location Address Fax Number:
785-371-4519
Provider Enumeration Date:
08/28/2014