Organization
LACY J KERR, LSCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACY JEAN KERR LSCSW (THERAPIST/OWNER)
(316) 440-4291
Entity
Organization
Contact information
Practice address
1999 N AMIDON AVE STE 208, WICHITA, KS 67203-2123
(316) 440-4291
(316) 440-4449
Mailing address
1999 N AMIDON AVE STE 208, WICHITA, KS 67203-2123
(316) 440-4291
(316) 440-4449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4487
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780843631
INDIVIDUAL NPI
KS
Enumeration date
12/13/2015
Last updated
12/13/2015
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