Individual
MISS JANNY KETSANA SIVILAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
4601 E DOUGLAS AVE STE 150, WICHITA, KS 67218-1032
(913) 451-8550
Mailing address
4601 E DOUGLAS AVE STE 150, WICHITA, KS 67218-1032
(913) 451-8550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05501
KS
1041C0700X
Clinical Social Worker
2023046870
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200678500A
—
KS
Enumeration date
06/28/2018
Last updated
05/25/2024
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