Individual
MICHELLE OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4601 E DOUGLAS AVE STE 121, WICHITA, KS 67218-1032
(316) 500-3711
Mailing address
1102 W DALLAS ST, WICHITA, KS 67217-2308
(316) 633-0167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10366
KS
104100000X
Social Worker
10366
KS
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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