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Individual

MELISSA DENNISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
650 HUEBNER RD, FORT RILEY, KS 66442
(785) 240-5248
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-5248

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6202
KS
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11759286
CAQH
05
200440730A
KS
01
840312
BCBS NUMBER
KS
Enumeration date
06/03/2006
Last updated
07/05/2018
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