Provider Information for 1578115085
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Mrs. MELANEY IONA COURTICE LCSW
Sex: Female
NPI: 1578115085
Last Updated: 2019-07-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1578115085 | ||||||||||||||
| Enumeration Date | 2019-07-15 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 300 W 19TH TER KANSAS CITY, MO 64108-2026 United States Phone: 816-404-5746 | Fax: | ||||||||||||||
| Primary Practice Address | 300 W 19TH TER KANSAS CITY, MO 64108-2026 United States Phone: 816-404-5746 | Fax: | ||||||||||||||
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