Organization
JEANETTE DIEDERICH
Active
Other names
Jeanette Schiffelbein
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTE KATHLEEN DIEDERICH LSCSW (THERAPIST)
(316) 729-9965
Entity
Organization
Contact information
Practice address
520 S HOLLAND ST, SUITE 401, WICHITA, KS 67209-2096
(316) 729-9965
(316) 854-0950
Mailing address
520 S HOLLAND ST, SUITE 401, WICHITA, KS 67209-2096
(316) 729-9965
(316) 854-0950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3926
KS
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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