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Individual

STEPHANI DYKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3625
(316) 651-3625
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3625
(316) 651-3625

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7771
KS

Other

Enumeration date
05/09/2011
Last updated
12/14/2014
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