Individual
MS. THERESA J MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1148 SOUTH HILLSIDE, SUITE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Mailing address
1148 SOUTH HILLSIDE, SUITE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW0790
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066014
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/17/2006
Last updated
07/08/2007
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