Individual
AIMEE NOELLE KOZUSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-T
Contact information
Practice address
8100 E 22ND ST N, WICHITA, KS 67226-2350
(316) 201-6047
Mailing address
1009 N KOKOMO AVE, DERBY, KS 67037-1830
(316) 201-6047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14389T
KS
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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