Individual
HAROLD WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
555 N WOODLAWN ST, 3105, WICHITA, KS 67208-3646
(316) 652-2590
(316) 652-2595
Mailing address
555 N WOODLAWN ST, 3105, WICHITA, KS 67208-3646
(316) 652-2590
(316) 652-2595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3859
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200590230A
—
KS
Enumeration date
12/05/2008
Last updated
01/24/2014
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