Individual
MELISSA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
235 W COLLEEN DR, GARDNER, KS 66030-1759
(913) 220-3182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2683
KS
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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