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General NPI Number Information
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NPI Number | 1760685879
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Entity Type | Individual
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Provider Name | BROOKE ANN WINSLOW LSCSW, LMAC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 2801 W 13TH ST N
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City | WICHITA
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State | KS
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Zip | 67203-1820
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Country | US
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Telephone | 316-217-8922
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Fax | 316-339-0687
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Provider Business Mailing Address
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Address Line | 6453 S WARD PKWY
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City | WICHITA
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State | KS
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Zip | 67217-5959
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Country | US
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Telephone | 316-249-1555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00911
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 05466
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License Number State | KS
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