Individual
MONICA DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 E POPLAR ST, OLATHE, KS 66061-3306
(913) 972-0246
Mailing address
110 E POPLAR ST, OLATHE, KS 66061-3306
(913) 972-0246
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7351
KS
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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