Individual
DAVON J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2549 S LORI ST, WICHITA, KS 67210-1914
(316) 207-2545
Mailing address
2549 S LORI ST, WICHITA, KS 67210-1914
(316) 207-2545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9297
KS
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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