Individual
MS. LACY JEAN KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1365 N CUSTER ST, WICHITA, KS 67203-6634
(316) 942-4261
(316) 943-9995
Mailing address
1365 N CUSTER ST, WICHITA, KS 67203-6634
(316) 942-4261
(316) 943-9995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6668
KS
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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