Individual
EMILY MICHELLE MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11828 W CENTRAL AVE STE 104, WICHITA, KS 67212-5178
(316) 613-3995
Mailing address
2201 S VICTORIA ST, WICHITA, KS 67211-5248
(316) 223-5223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12730
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12730
MASTER'S SOCIAL WORK LICENSE NUMBER
KS
Enumeration date
07/19/2022
Last updated
07/19/2022
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