Individual
MS. MELICA SHAUNTE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
611 ROCK CREEK DR, LANSING, KS 66043-6272
(913) 683-4757
Mailing address
611 ROCK CREEK DR, LANSING, KS 66043-6272
(913) 683-4757
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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