Individual
CHERYL L NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSCSW
Contact information
Practice address
3425 W CENTRAL AVE, WICHITA, KS 67203-4919
(316) 650-8885
(316) 943-1139
Mailing address
547 N ROOSEVELT ST, WICHITA, KS 67208-3273
(316) 684-5448
(316) 684-5448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 0857
KS
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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