Organization
SANDRA MACIAS LSCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA F MACIAS LSCSW (OWNER)
(316) 943-3399
Entity
Organization
Contact information
Practice address
303 N WEST ST, SUITE 260, WICHITA, KS 67203-1249
(316) 943-3399
(316) 943-0041
Mailing address
303 N WEST ST, SUITE 260, WICHITA, KS 67203-1249
(316) 943-3399
(316) 943-0041
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3701
KS
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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