# LACY J KERR, LSCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053786293
- **Authorized official:** MS. LACY JEAN KERR LSCSW (THERAPIST/OWNER)
- **Authorized official phone:** (316) 440-4291

## Contact information

- **Practice address:** 1999 N AMIDON AVE STE 208, WICHITA, KS 67203-2123
- **Practice address phone:** (316) 440-4291
- **Practice address fax:** (316) 440-4449
- **Mailing address:** 1999 N AMIDON AVE STE 208, WICHITA, KS 67203-2123
- **Mailing address phone:** (316) 440-4291
- **Mailing address fax:** (316) 440-4449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4487 | KS | Yes |

## Other

- **Enumeration date:** 12/13/2015
- **Last updated:** 12/13/2015