Individual
KACI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 MESA WAY STE B, LAWRENCE, KS 66049-2345
(785) 392-6571
Mailing address
3816 ELIZABETH CT, LAWRENCE, KS 66049-4156
(620) 353-4227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8629
KS
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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