Organization
CENTER FOR INNER BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA SUE BANZHAF LSCSW (PSYCHOTHERAPIST)
(316) 636-1188
Entity
Organization
Contact information
Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 3766
KS
Other
Enumeration date
12/28/2007
Last updated
01/16/2008
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