Individual
NICOLE BOOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1711 S LONGFELLOW ST, WICHITA, KS 67207-3103
(316) 684-5300
(316) 684-6336
Mailing address
1711 S LONGFELLOW ST, WICHITA, KS 67207-3103
(316) 684-5300
(316) 684-6336
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6078
KS
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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