Individual
CARMEN MARIA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2312 S MERIDIAN AVE STE 102, WICHITA, KS 67213
(316) 807-5055
Mailing address
2750 S GLENN AVE, WICHITA, KS 67217-1843
(316) 807-5055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200733820B
—
KS
05
—
30004569780001
—
KS
Enumeration date
07/05/2011
Last updated
12/08/2021
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