Individual
EILEEN MELINDA MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMFT
Contact information
Practice address
406 N 3RD ST STE 3, MARYSVILLE, KS 66508-1497
(785) 562-3907
(785) 587-4377
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3081
KS
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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