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Individual

MS. SHARON L O'NEILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
1148 S. HILLSIDE, SUITE 104, WICHITA, KS 67211
(316) 687-0006
(316) 687-0328
Mailing address
1148 S. HILLSIDE, SUITE 104, WICHITA, KS 67211
(316) 687-0006
(316) 687-0328

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0859
KS
1041C0700X
Clinical Social Worker
LSCSW 0859
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011249
BLUE CROSS BLUE SHIELD
KS
05
100388030A
KS
01
800010481
RR MEDICARE
KS
Enumeration date
07/17/2006
Last updated
08/13/2010
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