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Individual

MS. MELISSA L MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
(785) 742-3085
Mailing address
103 NW ELMWOOD AVE, TOPEKA, KS 66606-1204
(785) 233-4592

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
897
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06908
GROUP PROVIDER NUMBER
KS
Enumeration date
08/30/2006
Last updated
07/08/2007
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