Individual
JENNIFER REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
643 N ARMOUR ST, WICHITA, KS 67206-1515
(316) 304-3873
(949) 862-1619
Mailing address
643 N ARMOUR ST, WICHITA, KS 67206-1515
(316) 304-3873
(949) 862-1619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1691
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000068522
BLUE CROSS BLUE SHIELD
KS
05
—
100337160 A
—
KS
Enumeration date
05/01/2007
Last updated
08/23/2024
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