Individual
ALICE BOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 831-0330
(316) 831-0414
Mailing address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 831-0330
(316) 831-0414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9327
KS
Other
Enumeration date
04/25/2016
Last updated
08/26/2016
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