| Molly Traffas, Llc | |
|
3425 W Central Ave Wichita KS 67203-4919 | |
| (316) 946-0990 | |
| (316) 943-1139 |
| Full Name | Molly Traffas, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3425 W Central Ave, Wichita, Kansas |
| Authorized Official Name and Position | Molly L. Traffas (OWNER) |
| Authorized Official Contact | 3169460990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Traffas, Llc 3425 W Central Ave. Wichita KS 67203-4919 Ph: (316) 946-0990 | Molly Traffas, Llc 3425 W Central Ave Wichita KS 67203-4919 Ph: (316) 946-0990 |
| NPI Number | 1598857641 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598857641 | NPI | - | NPPES |
| 100457290B | Medicaid | KS | |
| 180517 | Other | KS | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2240 (Kansas) | Primary |
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