Individual
STACIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7500
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8213
KS
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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