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Individual

KALYN KELLEY BOESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-T

Contact information

Practice address
345 N RIVERVIEW ST STE 730, WICHITA, KS 67203-4267
(316) 680-8283
Mailing address
PO BOX 1135, WICHITA, KS 67201-1135
(316) 680-8283

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14115-T
KS
106S00000X
Behavior Technician
KS

Other

Enumeration date
05/08/2020
Last updated
07/03/2025
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