Individual
MRS. MINDY LYNN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9100
(620) 225-0276
Mailing address
PO BOX 470, CIMARRON, KS 67835-0470
(785) 821-0037
(620) 225-0279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9358
KS
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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