Organization
BETHANY A. OWENS, LSCSW
Active
Other names
Bethany A. Owens, LSCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRY A SWAYZE (BILLING MANAGER)
(316) 944-3940
Entity
Organization
Contact information
Practice address
400 N WOODLAWN ST STE 30, WICHITA, KS 67208-4333
(316) 612-9223
(316) 612-9223
Mailing address
PO BOX 17053, WICHITA, KS 67217-0053
(316) 944-3940
(316) 946-0694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4768
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201109570B
—
KS
01
—
4768
STATE LICENSE
KS
Enumeration date
03/08/2018
Last updated
03/08/2018
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