Individual
ANGELIA J SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
520 S HOLLAND ST, SUITE 401, WICHITA, KS 67209-2096
(316) 729-9965
(855) 770-3988
Mailing address
520 S HOLLAND ST, SUITE 401, WICHITA, KS 67209-2096
(316) 729-9965
(855) 770-3988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3718
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11758845
CAQH
—
05
—
200440770A
—
KS
01
—
856680
BCBS
KS
Enumeration date
03/01/2007
Last updated
01/18/2017
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