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Individual

PAMELA BERANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
123 N TYLER RD STE 300, WICHITA, KS 67212-3726
(316) 869-2230
Mailing address
123 N TYLER RD STE 300, WICHITA, KS 67212-3726
(316) 869-2230

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10045
KS
1041C0700X
Clinical Social Worker
Primary
05290
KS

Other

Enumeration date
12/09/2016
Last updated
03/16/2021
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