Individual
TERRY TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
400 N WOODLAWN ST, SUITE 214, WICHITA, KS 67208-4332
(316) 202-5463
Mailing address
400 N WOODLAWN ST, SUITE 214, WICHITA, KS 67208-4332
(316) 202-5463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12858
KS
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004826230001
—
KS
Enumeration date
07/05/2022
Last updated
03/31/2026
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