Connie Faye Suderman LSCSW

NPI 1114100658 - Social Worker - 1041C0700X

NPI Details
NPI 1114100658
Gender Female
Enumeration Date 12/06/2007
Last Updated 11/22/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1660 N TYLER RD
SUITE A
WICHITA KS, 67212-4917, US
Phone (316) 722-4884
Fax (316) 722-4893
Business Location
1660 N TYLER RD
SUITE A
WICHITA KS, 67212-4917, US
Phone (316) 722-4884
Fax (316) 722-4893
Toxanomy
Taxonomy Code 1041C0700X
License State Kansas
License Number LMSW-2560
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According to our database, Connie Faye Suderman LSCSW NPI is 1114100658, taxonomy code is 1041C0700X and license number is LMSW-2560, license state is located at Kansas. Connie Faye Suderman LSCSW physically located at 1660 N Tyler Rd, Wichita KS, 67212-4917. NPI Number Connie Faye Suderman LSCSW has the Individual type.

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1114100658 NPI number is provided on an as is basis without warranty of any kind. 1114100658 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Faye Suderman LSCSW are for informational purposes only.