Individual
MIQUETTA L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
555 N WOODLAWN ST, 102, WICHITA, KS 67208-3646
(316) 652-2590
(316) 652-2595
Mailing address
555 N WOODLAWN ST, 102, WICHITA, KS 67208-3646
(316) 652-2590
(316) 652-2595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9713
KS
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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