Individual
YENI TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMSW
Contact information
Practice address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 712-8651
Mailing address
8520 E CHALET DR, WICHITA, KS 67207-5220
(316) 712-8651
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9794
KS
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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