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Individual

MS. STEPHENIE ANN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
9505 W. CENTRAL, STE. 103, WICHITA, KS 67212-3832
(316) 721-0971
(316) 512-4070
Mailing address
9505 W CENTRAL AVE, STE. 103, WICHITA, KS 67212-3801
(316) 721-0971
(316) 512-4070

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KS
1041C0700X
Clinical Social Worker
Primary
1949
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200277320A
KS
Enumeration date
01/10/2006
Last updated
07/13/2011
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