Individual
STEPHANIE ELLZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
7920 W 21ST ST N STE 200, WICHITA, KS 67205-1787
(316) 619-2017
Mailing address
282 S MAPLE DUNES CT, WICHITA, KS 67235-7510
(316) 619-2017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06027
KS
Other
Enumeration date
07/05/2022
Last updated
01/31/2024
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