Individual
MELISSA R PETESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
805 5TH ST, CLAY CENTER, KS 67432-2502
(785) 630-8556
Mailing address
805 5TH ST, CLAY CENTER, KS 67432-2502
(785) 630-8556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8648
KS
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/31/2012
Last updated
01/07/2026
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