Individual
MELISSA DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8119
KS
1041C0700X
Clinical Social Worker
Primary
4416
KS
Other
Enumeration date
07/12/2011
Last updated
04/15/2020
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