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Individual

JULIE MARIE MEYER PATRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MSW

Contact information

Practice address
5500 W KELLOGG DR, WICHITA, KS 67209-2345
(316) 308-0423
Mailing address
PO BOX 75194, WICHITA, KS 67275-0194
(316) 308-0423

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7633
KS
1041C0700X
Clinical Social Worker
Primary
889
AK

Other

Enumeration date
07/21/2010
Last updated
07/21/2010
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