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Individual
MELISSA MAGEE-KAKOURAS
Active
Individual
MELISSA MAGEE-KAKOURAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007330
—
NC
01
—
C006451
LCSW STATE LICENSE
NC
Enumeration date
07/21/2009
Last updated
10/25/2010
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