Individual
MRS. MELANEY IONA COURTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5746
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017004503
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017004503
LCSW
MO
Enumeration date
07/15/2019
Last updated
07/15/2019
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