Individual
LISA MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1501 N LYNNHURST AVE, WICHITA, KS 67212-1846
(316) 409-9822
Mailing address
1501 N LYNNHURST AVE, WICHITA, KS 67212-1846
(316) 409-9822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10500
KS
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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