Individual
ROCKY GENE MACY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6775
Mailing address
1101 S BROADWAY ST, APT. C, LEAVENWORTH, KS 66048-3115
(913) 297-0898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004016336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004016336
CLINICAL SOCIAL WORK LICE
MO
Enumeration date
11/14/2005
Last updated
07/08/2007
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