Individual
LACEY WELLEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 N WACO AVE, WICHITA, KS 67203-3939
(316) 201-6047
Mailing address
825 N WACO AVE, WICHITA, KS 67203-3939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12550
KS
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
10/16/2025
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