Individual
MRS. LAURETTA JEAN MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1999 N AMIDON AVE, WICHITA, KS 67203-2121
(316) 831-0999
(316) 831-0999
Mailing address
1999 N AMIDON AVE, WICHITA, KS 67203-2121
(316) 831-0999
(316) 831-0999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4298
KS
Other
Enumeration date
09/30/2010
Last updated
03/29/2021
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