# HEATHER DEVEREAUX, LSCSW, RPT

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

## Provider details

- **NPI number:** 1447739354
- **Authorized official:** MS. HEATHER DEVEREAUX LSCSW, RPT (OWNER)
- **Authorized official phone:** (316) 993-6139

## Contact information

- **Practice address:** 560 N EXPOSITION ST, WICHITA, KS 67203-5902
- **Practice address phone:** (316) 993-6139
- **Mailing address:** 14118 W HIGHLAND SPRINGS CT, WICHITA, KS 67235-8060
- **Mailing address phone:** (316) 993-6139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4737 | KS | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 08/10/2018