Individual
VIVIAN J PFISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8083
KS
1041C0700X
Clinical Social Worker
Primary
4510
KS
Other
Enumeration date
10/10/2011
Last updated
10/16/2017
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