Individual
MRS. MELODY J STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
560 N. EXPOSITION, WICHITA, KS 67203
(316) 264-8317
(316) 264-0347
Mailing address
560 N. EXPOSITION, WICHITA, KS 67203
(316) 264-8317
(316) 264-0347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3633
KS
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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