Individual
ELAINE CANNEFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
560 N. EXPOSITION, WICHITA, KS 67203
(316) 264-8317
(316) 264-0347
Mailing address
560 N. EXPOSITION, WICHITA, KS 67203
(316) 264-8317
(316) 264-0347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3000
KS
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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