Individual
LISA MARIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2922 N SPRING MEADOW CT, WICHITA, KS 67205-1659
(316) 250-5007
Mailing address
2922 N SPRING MEADOW CT, WICHITA, KS 67205-1659
(316) 250-5007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4810
KS
1041C0700X
Clinical Social Worker
Primary
05507
KS
Other
Enumeration date
03/27/2019
Last updated
07/28/2021
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