Individual
EUNKYOUNG MARIAH WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW,LCAC
Contact information
Practice address
560 S OLIVER ST, WICHITA, KS 67218-2351
(316) 260-1127
(316) 260-1137
Mailing address
560 S OLIVER ST, WICHITA, KS 67218-2351
(316) 260-1127
(316) 260-1137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3990
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200438070A
—
KS
05
—
200438070D
—
KS
Enumeration date
07/12/2007
Last updated
02/28/2017
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