Individual
PAIGE LYNN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2501 E CENTRAL AVE STE 2, WICHITA, KS 67214-3344
(505) 414-1643
Mailing address
2501 E CENTRAL AVE STE 2, WICHITA, KS 67214-3344
(505) 414-1643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12067
KS
104100000X
Social Worker
M9803
MS
Other
Enumeration date
10/18/2021
Last updated
11/15/2021
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