Individual
HEATHER DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 993-6139
Mailing address
14118 W HIGHLAND SPRINGS CT, WICHITA, KS 67235-8060
(316) 993-6139
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9183
KS
1041C0700X
Clinical Social Worker
Primary
4737
KS
Other
Enumeration date
08/08/2014
Last updated
01/28/2019
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