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Individual

KELLY MICHELLE HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC, SUITE 104, LAWRENCE, KS 66049
(785) 371-1414
(785) 371-4519
Mailing address
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC, SUITE 104, LAWRENCE, KS 66049
(785) 371-1414
(785) 371-4519

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2014006863
MO
1041C0700X
Clinical Social Worker
Primary
4359
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356626477
MO
Enumeration date
10/20/2011
Last updated
06/06/2022
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