Individual
GINA ELIZABETH SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-T
Contact information
Practice address
825 N WACO AVE STE 200, WICHITA, KS 67203-3939
(316) 201-6047
Mailing address
1711 N VASSAR AVE APT 102, WICHITA, KS 67208-2083
(785) 766-9129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW12562-T
KS
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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