Individual
MELISSA MCCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
450 N 159TH ST E, WICHITA, KS 67230-7704
(316) 440-1312
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9561
KS
Other
Enumeration date
09/17/2014
Last updated
06/24/2015
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