Individual
ELAINNE DAWN FULENWIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 223-4629
Mailing address
727 PLANTATION ST, MAIZE, KS 67101-9587
(316) 706-6466
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9196
KS
1041C0700X
Clinical Social Worker
Primary
07058
KS
Other
Enumeration date
08/22/2022
Last updated
01/21/2026
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