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Individual

MICHELLE LEE DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
7926 W. 21ST ST. N., WICHITA, KS 67205
(316) 272-5502
(316) 453-6402
Mailing address
7926 W. 21ST ST. N., WICHITA, KS 67205
(316) 272-5502
(316) 453-6402

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 6135
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200442260B
KS
Enumeration date
05/23/2007
Last updated
09/08/2023
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