Individual
MS. SHAWN M DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
322 S LAURA AVE, WICHITA, KS 67211-1517
(316) 316-2804
Mailing address
1436 N GLANCEY ST, ANDOVER, KS 67002-7411
(316) 619-2804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9340
KS
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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