Most Relevant Information
Provider Data
| NPI Number: | 1003225574 |
| Provider Name: | STEPHANIE SHANELEC-KEELER LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 9174 |
Most Important Dates
| Enumeration Date: | 08/08/2014 |
| Last Updated: | 08/08/2014 |
Provider Practice Location
434 N OLIVER AVE
WICHITA
KS
672084000
Practice Location Phone/Fax
| Phone: | 3166601028 |
| Fax: | 3166601015 |
Provider Mailing Location
635 N MAIN ST
WICHITA
KS
672033602
Provider Mailing Phone/Fax
| Phone: | 3166607600 |
| Fax: | 3166607510 |