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Organization

SANDIE KREISER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY GLASSCOCK CPC (BILLING/CREDENTIALING)
(316) 648-1157
Entity
Organization

Contact information

Practice address
920 N TYLER RD STE 104, WICHITA, KS 67212-3267
(316) 469-4543
(316) 636-7122
Mailing address
PO BOX 250, MAIZE, KS 67101-0250
(316) 648-1157
(866) 316-4467

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4788
KS

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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