Individual
BETH ANN SHARBUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2544 N MAIZE CT, WICHITA, KS 67205-7324
(913) 982-8440
Mailing address
2544 N MAIZE CT STE 100, WICHITA, KS 67205-7358
(316) 201-6047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05703
KS
1041C0700X
Clinical Social Worker
2021009241
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477915239
—
TN
Enumeration date
04/01/2022
Last updated
05/23/2023
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