Individual
ADDELYNN SHAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9100
Mailing address
4625 N SPYGLASS ST, WICHITA, KS 67226-3375
(316) 253-7997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8946
KS
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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