Individual
MELODY ANN LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, ACSW
Contact information
Practice address
506 1/2 MAIN ST, MOUND CITY, KS 66056-6254
(913) 795-4414
Mailing address
PO BOX 64, MOUND CITY, KS 66056-0064
(913) 795-2567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 0710
KS
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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