Individual
LURA L BORSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
403 W CENTRAL AVE STE A, ANDOVER, KS 67002-9614
(316) 200-6820
(888) 648-8640
Mailing address
3001 CORNELISON ST, WICHITA, KS 67203-2032
(316) 200-6820
(888) 648-8640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3581
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200423490E
—
KS
Enumeration date
10/03/2006
Last updated
11/18/2009
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