Elizabeth Ann Wine, LSCSW
Social Worker, Clinical in Wichita, KS. Individual provider (NPI-1).
NPI number1760680920
StatusActive
Last updated in NPPESMay 28, 2015
Details
- NPI
- 1760680920
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elizabeth Ann Wine
- Credential
- LSCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2007
- Last updated
- May 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4241 | KS | Yes |
| 104100000X | Social Worker | 6830 | KS |
Practice location
350 S Broadway StWichita, KS 67202-4304
Phone 316-660-9600 · Fax 316-660-9669
Mailing address
635 N Main StWichita, KS 67203-3602
Phone 316-660-7600 · Fax 316-941-5075
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