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Individual

MRS. MELANIE DAWN CLOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMFT

Contact information

Practice address
6700 W CENTRAL AVE STE 106, WICHITA, KS 67212-6302
(316) 945-5200
(316) 945-5549
Mailing address
6700 W CENTRAL AVE STE 106, WICHITA, KS 67212-6302
(316) 945-5200

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
891
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201149530A
KS
Enumeration date
10/02/2012
Last updated
01/09/2019
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