Individual
TERI KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3414 KINKAID, WICHITA, KS 67218
(316) 681-8611
Mailing address
3414 KINKAID, WICHITA, KS 67218
(316) 681-8611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5167
KS
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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