Individual
MS. RONDA R MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(620) 331-1748
Mailing address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(203) 311-7486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 9041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073750A
—
KS
Enumeration date
05/15/2013
Last updated
01/26/2022
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