Individual
MS. ELIZABETH ANN WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
350 S BROADWAY ST, WICHITA, KS 67202-4304
(316) 660-9600
(316) 660-9669
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6830
KS
1041C0700X
Clinical Social Worker
Primary
4241
KS
Other
Enumeration date
07/10/2007
Last updated
05/28/2015
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