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Individual

SHARIE R QUATTLEBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4703
Mailing address
PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6490

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4025
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200435310A
KS
Enumeration date
07/02/2007
Last updated
10/15/2019
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