Organization
CARRIE COUTURE LSCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE D COUTURE LSCSW (OWNER)
(316) 779-2564
Entity
Organization
Contact information
Practice address
2118 N TYLER RD BUILDING B STE 100, WICHITA, KS 67212-4912
(316) 779-2564
Mailing address
2118 N TYLER RD BUILDING B STE 100, WICHITA, KS 67212-4912
(316) 779-2564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000452265004
—
KS
Enumeration date
12/04/2023
Last updated
12/04/2023
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