Organization
ELIZABETH BILTZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BILTZ MSW (OWNER)
(316) 272-0077
Entity
Organization
Contact information
Practice address
3310 E DOUGLAS AVE, WICHITA, KS 67208-3314
(316) 512-1612
Mailing address
3310 E DOUGLAS AVE, WICHITA, KS 67208-3314
(316) 512-1612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201108060A
—
KS
Enumeration date
11/15/2018
Last updated
07/15/2020
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