Organization
AMY BLASDEL, LSCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ELISA BLASDEL LSCSW (MENTAL HEALTH THERAPIST)
(316) 393-6921
Entity
Organization
Contact information
Practice address
10118 W WESTPORT CT, WICHITA, KS 67212-6716
(316) 393-6921
Mailing address
6700 W CENTRAL AVE, SUITE 106, WICHITA, KS 67212-6334
(316) 945-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4076
KS
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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