Individual
VICTORIA RENAE RAIGOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1365 N CUSTER ST, WICHITA, KS 67203-6694
(316) 686-6671
(316) 686-1094
Mailing address
1365 N CUSTER ST, WICHITA, KS 67203-6694
(316) 686-6671
(316) 686-1094
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13394
KS
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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