Individual
GERRI LEE BLAISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 267-2030
Mailing address
208 CHERRY ST, AMERICUS, KS 66835-9676
(620) 412-1709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9547
KS
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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