Organization
JEAN ANDERSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ANDERSON LSCSW (OWNER, LSCSW)
(316) 706-5818
Entity
Organization
Contact information
Practice address
3500 N ROCK RD BLDG 550, WICHITA, KS 67226-1498
(316) 706-5818
Mailing address
3500 N ROCK RD BLDG 550, WICHITA, KS 67226-1498
(316) 706-5818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4641
LICENSE
KS
Enumeration date
09/26/2022
Last updated
09/26/2022
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