Individual
MRS. LUEATA ANN EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
350 S BROADWAY AVE, WICHITA, KS 67202-4304
(316) 660-9600
(316) 941-5075
Mailing address
271 W 3RD ST N STE 600, WICHITA, KS 67202-1223
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3078
KS
1041C0700X
Clinical Social Worker
Primary
05394
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568637254
NPI
—
Enumeration date
04/24/2008
Last updated
03/31/2021
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