Individual
MELISSA IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 508-3500
Mailing address
4501 W 69TH ST, PRAIRIE VILLAGE, KS 66208-2541
(913) 544-9137
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12573
KS
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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