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Individual

J RENAE MCFALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
345 N RIVERVIEW ST, WICHITA, KS 67203-4200
(316) 202-2110
Mailing address
956 N AMIDON AVE, WICHITA, KS 67203-3113
(316) 651-6758

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
Primary
07297
KS

Other

Enumeration date
08/07/2019
Last updated
07/15/2026
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