Individual
MRS. TERESA D MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
6525 E MAINSGATE RD, WICHITA, KS 67226-1062
(316) 461-7923
(316) 260-7045
Mailing address
6525 E MAINSGATE RD, WICHITA, KS 67226-1062
(316) 461-7923
(316) 260-7045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3598
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13550
PREFERRED HEALTH SYSTEMS
KS
01
—
829998
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/01/2006
Last updated
10/18/2016
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