Individual
LISA MARIETTA BELLECCI-ST.ROMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
221 S. BROADWAY, SUITE 608, WICHITA, KS 67202-4213
(316) 259-3160
(888) 711-4131
Mailing address
221 S. BROADWAY, SUITE 608, WICHITA, KS 67202-4213
(316) 259-3160
(888) 711-4131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4156 LSCSW
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200631350A
—
KS
Enumeration date
09/18/2009
Last updated
08/10/2012
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