NPI 1013775717

Kaci Wilson

Practitioner Social Worker Lawrence, KS

Practice location

Address: 3300 Mesa Way STE B, Lawrence, KS 66049-2345
Phone: (785) 392-6571
Mailing address: 3816 Elizabeth CT, Lawrence, KS 66049-4156

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 8629 (KS)

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Registry record

NPI: 1013775717
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2024
Record last updated: 8 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.