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NPI Code Detail

MEDICARE: BRITTNI N EZEAH LSCSW

MEDICARE: BRITTNI N EZEAH LSCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker07132KS

General Provider Information

NPI Number : 1740840016
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNI N EZEAH LSCSW
Provider Business Mailing Address
First Line : 527 N GROVE ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-4520
Country : US
Telephone Number : 316-262-2415
Fax Number : 316-264-4734
Provider Business Practice Location Address
First Line : 527 N GROVE ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-4520
Country : US
Telephone Number : 316-262-2415
Fax Number : 316-264-4734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2019
Last Update Date : 03/02/2026

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Directions to “ BRITTNI N EZEAH LSCSW” Practice Location

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