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General NPI Number Information
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NPI Number | 1396305835
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Entity Type | Organization
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Legal Business Name | GOLDFINCH THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 100 S MARKET ST STE 2A
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City | WICHITA
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State | KS
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Zip | 67202
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Country | US
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Telephone | 316-361-0662
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Fax | 844-766-7540
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Provider Business Mailing Address
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Address Line | 100 S MARKET ST STE 2A
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City | WICHITA
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State | KS
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Zip | 67202-3824
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Country | US
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Telephone | 316-361-0662
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Fax | 844-766-7540
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MS. ANDREA LYNN KASPER-DOGGETT
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Credential | LSCSW
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Telephone | 316-619-7604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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