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Organization
CENTER FOR INNER BALANCE, LLC
Active
Organization
CENTER FOR INNER BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA SUE BANZHAF LSCSW (PSYCHOTHERAPIST)
(316) 636-1188
Entity
Organization
Contact information
Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 3766
KS
Other
Enumeration date
12/28/2007
Last updated
01/16/2008
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