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Individual

BRITTNI N EZEAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
527 N GROVE ST, WICHITA, KS 67214-4520
(316) 262-2415
(316) 264-4734
Mailing address
527 N GROVE ST, WICHITA, KS 67214-4520
(316) 262-2415
(316) 264-4734

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11346
KS
1041C0700X
Clinical Social Worker
Primary
07132
KS

Other

Enumeration date
06/18/2019
Last updated
03/02/2026
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