Individual
MRS. GAIL D BUSSART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 854-8574
(316) 854-5271
Mailing address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 854-8574
(316) 854-5271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1972
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009021
PHS
KS
01
—
069655
BCBS
KS
05
—
100427820A
—
KS
Enumeration date
03/08/2006
Last updated
08/29/2016
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