| Lacy J Kerr, Lscsw, Llc | |
|
1999 N Amidon Ave Ste 208 Wichita KS 67203-2123 | |
| (316) 440-4291 | |
| (316) 440-4449 |
| Full Name | Lacy J Kerr, Lscsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1999 N Amidon Ave Ste 208, Wichita, Kansas |
| Authorized Official Name and Position | Lacy Jean Kerr (THERAPIST/OWNER) |
| Authorized Official Contact | 3164404291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy J Kerr, Lscsw, Llc 1999 N Amidon Ave Ste 208 Wichita KS 67203-2123 Ph: (316) 440-4291 | Lacy J Kerr, Lscsw, Llc 1999 N Amidon Ave Ste 208 Wichita KS 67203-2123 Ph: (316) 440-4291 |
| NPI Number | 1053786293 |
|---|---|
| Provider Enumeration Date | 12/13/2015 |
| Last Update Date | 12/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053786293 | NPI | - | NPPES |
| 1780843631 | Other | KS | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4487 (Kansas) | Primary |
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