Individual
DEBORAH R. SHAFFER-MATTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1720 E MORRIS ST, STE. 101, WICHITA, KS 67211-2754
(316) 660-1900
(316) 660-7510
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7476
KS
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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