Individual
MRS. SANDIE W KREISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
920 N TYLER RD, STE 104, WICHITA, KS 67212-3267
(316) 469-4543
(316) 636-7122
Mailing address
920 N TYLER RD, STE 104, WICHITA, KS 67212-3267
(316) 469-4543
(316) 636-7122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9161
KS
1041C0700X
Clinical Social Worker
Primary
4788
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201146020A
—
KS
Enumeration date
10/18/2016
Last updated
04/27/2021
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