Individual
SHANE D. MCCURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
9415 E HARRY ST, STE 306, WICHITA, KS 67207-5077
(316) 202-2110
(316) 226-8648
Mailing address
9415 EAST HARRY, BUILDING 3, SUITE 306, WICHITA, KS 67207
(316) 202-2110
(316) 226-8648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5670
KS
1041C0700X
Clinical Social Worker
Primary
3811
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201443
BLUE CROSS BLUE SHIELD
KS
01
—
8966
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
06/02/2006
Last updated
08/06/2021
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