Individual
HEATHER A SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LMAC, CHT
Contact information
Practice address
9415 E HARRY ST STE 208, WICHITA, KS 67207-5076
(316) 573-7343
(316) 221-7159
Mailing address
9415 E HARRY ST STE 503, WICHITA, KS 67207-5082
(316) 573-7343
(316) 221-7159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200689770C
—
KS
05
—
201355360A
—
KS
Enumeration date
01/20/2011
Last updated
03/02/2022
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