Individual
ANDREA HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9100
Mailing address
710 W COMANCHE ST, DODGE CITY, KS 67801-3644
(620) 253-6206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9004
KS
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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