# AMY BLASDEL, LSCSW

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

## Provider details

- **NPI number:** 1528343985
- **Authorized official:** MRS. AMY ELISA BLASDEL LSCSW (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (316) 393-6921

## Contact information

- **Practice address:** 10118 W WESTPORT CT, WICHITA, KS 67212-6716
- **Practice address phone:** (316) 393-6921
- **Mailing address:** 6700 W CENTRAL AVE, SUITE 106, WICHITA, KS 67212-6334
- **Mailing address phone:** (316) 945-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4076 | KS | Yes |

## Other

- **Enumeration date:** 10/18/2011
- **Last updated:** 10/18/2011