Individual
AMBER MARIE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7570 W 21ST ST N # 1042, WICHITA, KS 67205-1734
(765) 480-7533
Mailing address
1226 N SHEFFORD ST, WICHITA, KS 67212-5667
(765) 480-7533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11720
KS
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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