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Individual

MRS. MELISSA ALICE FRIEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111
(816) 753-5144
(816) 753-0804
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
(816) 753-0804

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MO
1041C0700X
Clinical Social Worker
Primary
2015033047
MO

Other

Enumeration date
08/14/2012
Last updated
03/15/2019
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