Individual
DEE E STAUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
940 N WACO AVE, WICHITA, KS 67203-3947
(316) 660-7550
(316) 383-8241
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
013
KS
104100000X
Social Worker
Primary
3565
KS
Other
Enumeration date
05/28/2006
Last updated
05/16/2012
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