Individual
AMANDA MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
8533 E 32ND ST N, WICHITA, KS 67226-2611
(316) 293-2622
(855) 517-9494
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9605
KS
1041C0700X
Clinical Social Worker
Primary
4902
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201113460A
KMAP
KS
Enumeration date
06/12/2015
Last updated
04/30/2019
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