| Laurie Moffitt, Lscsw, Llc | |
|
1999 N Amidon Ave Suite 210 Wichita KS 67203-2121 | |
| (316) 831-0999 | |
| (316) 831-0998 |
| Full Name | Laurie Moffitt, Lscsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1999 N Amidon Ave, Wichita, Kansas |
| Authorized Official Name and Position | Lauretta J Moffitt (OWNER/CLINICIAN) |
| Authorized Official Contact | 3168310999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Moffitt, Lscsw, Llc 1999 N Amidon Ave Suite 210 Wichita KS 67203-2121 Ph: (316) 831-0999 | Laurie Moffitt, Lscsw, Llc 1999 N Amidon Ave Suite 210 Wichita KS 67203-2121 Ph: (316) 831-0999 |
| NPI Number | 1962828434 |
|---|---|
| Provider Enumeration Date | 03/08/2014 |
| Last Update Date | 03/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962828434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4298 (Kansas) | Primary |
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