Individual
JENNIFER OBERMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9415 E HARRY ST STE 404, WICHITA, KS 67207-5083
(316) 768-7505
Mailing address
9415 E HARRY ST STE 404, WICHITA, KS 67207-5083
(316) 768-7505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8943
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201131390A
—
KS
Enumeration date
03/29/2016
Last updated
07/16/2019
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