Individual
JENNIFER WOODSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7701 E KELLOGG DR, SUITE 300, WICHITA, KS 67207-1706
(316) 660-9600
(316) 660-9660
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5922
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201445
BLUE CROSS BLUE SHIELD
KS
01
—
8975
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
06/08/2006
Last updated
07/08/2007
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