Individual
SHAUNA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3820 N TOBEN ST, WICHITA, KS 67226-2903
(316) 634-3954
Mailing address
3820 N TOBEN ST, WICHITA, KS 67226-2903
(316) 634-3954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13633-T
KS
Other
Enumeration date
07/22/2024
Last updated
07/31/2024
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