Individual
JOANNA LEE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
530 N RIDGE RD STE B, WICHITA, KS 67212-6576
(316) 616-1055
(855) 633-0585
Mailing address
101 W HEFNER RD, OKLAHOMA CITY, OK 73114-6631
(405) 896-8058
(855) 223-1999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW7911
KS
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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