Molly Traffas, Llc | |
3425 W Central Ave Wichita KS 67203-4919 | |
(316) 946-0990 | |
(316) 943-1139 |
Full Name | Molly Traffas, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 3425 W Central Ave, Wichita, Kansas |
Authorized Official Name and Position | Molly L. Traffas (OWNER) |
Authorized Official Contact | 3169460990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Molly Traffas, Llc 3425 W Central Ave. Wichita KS 67203-4919 Ph: (316) 946-0990 | Molly Traffas, Llc 3425 W Central Ave Wichita KS 67203-4919 Ph: (316) 946-0990 |
NPI Number | 1598857641 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 11/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598857641 | NPI | - | NPPES |
100457290B | Medicaid | KS | |
180517 | Other | KS | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2240 (Kansas) | Primary |
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