Individual
TONYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
(316) 830-4173
Mailing address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
(316) 830-4173
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7884
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201139780B
—
KS
Enumeration date
08/25/2016
Last updated
06/27/2019
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