Individual
ANAIDY CLAUDIO ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC
Contact information
Practice address
345 N RIVERVIEW ST, WICHITA, KS 67203-4200
(316) 395-2886
Mailing address
265 W VILLAGE LAKE DR, DERBY, KS 67037-2612
(316) 284-7730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 9407
KS
1041C0700X
Clinical Social Worker
Primary
4800
KS
Other
Enumeration date
10/20/2014
Last updated
12/10/2024
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