Individual
MR. IGNACIO VASQUEZ AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3428 E DOUGLAS AVE # 1, STUITE 102, WICHITA, KS 67208-3325
(316) 204-7759
(316) 337-5249
Mailing address
3428 E DOUGLAS AVE # 1, WICHITA, KS 67208-3325
(316) 204-7759
(316) 337-5249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7968
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008775060A
—
KS
Enumeration date
10/07/2011
Last updated
01/04/2017
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