Individual
MRS. ALICE RENEE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(210) 396-1400
Mailing address
6005 W DRIFTWOOD ST, WICHITA, KS 67205-5267
(210) 396-1400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10771
KS
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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