Individual
JEAN L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
(316) 634-4770
Mailing address
1901 E 1ST ST, PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4641
KS
Other
Enumeration date
03/24/2014
Last updated
04/05/2019
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