Individual
JENNIFER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7701 E KELLOGG DR, STE. 300, WICHITA, KS 67207-1706
(316) 660-9600
(316) 660-9660
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7767
KS
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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