Individual
MELISSA KIRKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 228-8900
(414) 277-8982
Mailing address
9000 W WISCONSIN AVE # MS 958, WAUWATOSA, WI 53226-4874
(414) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11383-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619546470
—
WI
Enumeration date
06/24/2021
Last updated
09/05/2023
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