Most Relevant Information
Provider Data
| NPI Number: | 1003525106 |
| Provider Name: | JASA WUTHRICH LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 12350 |
Most Important Dates
| Enumeration Date: | 11/16/2022 |
| Last Updated: | 11/16/2022 |
Provider Practice Location
5500 E KELLOGG DR
WICHITA
KS
672181607
Practice Location Phone/Fax
| Phone: | 3166852221 |
| Fax: |
Provider Mailing Location
1322 N WOODLAWN ST APT 217
WICHITA
KS
672082650
Provider Mailing Phone/Fax
| Phone: | 3167375169 |
| Fax: |