Individual
KATINA SEIRRA ANDREA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW, RPT
Contact information
Practice address
200 N BROADWAY AVE STE 110, WICHITA, KS 67202-2324
(316) 444-4980
Mailing address
200 N BROADWAY AVE STE 110, WICHITA, KS 67202-2324
(316) 444-4980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
108070
TX
104100000X
Social Worker
Primary
5086
KS
Other
Enumeration date
04/25/2017
Last updated
07/17/2024
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