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Individual

ANDREA L SKELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
1333 N BROADWAY AVE, SUITE E, WICHITA, KS 67214-2894
(316) 201-1676
(316) 201-1762
Mailing address
1333 N BROADWAY AVE STE E, WICHITA, KS 67214-2894
(316) 201-1676
(316) 201-1762

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
198
KS
1041C0700X
Clinical Social Worker
Primary
3910
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200654090C
KS
Enumeration date
07/18/2006
Last updated
10/15/2017
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