Organization
LAURIE MOFFITT, LSCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURETTA J MOFFITT LSCSW (OWNER/CLINICIAN)
(316) 831-0999
Entity
Organization
Contact information
Practice address
1999 N AMIDON AVE, SUITE 210, WICHITA, KS 67203-2121
(316) 831-0999
(316) 831-0998
Mailing address
1999 N AMIDON AVE, SUITE 210, WICHITA, KS 67203-2121
(316) 831-0999
(316) 831-0998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4298
KS
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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