Individual
MRS. COURTNEY ALEXUS WOLVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, CPT, CFRC
Contact information
Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 741-5105
Mailing address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 741-5105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10089
KS
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
07/08/2022
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