Individual
KATHERINE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
262 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(913) 735-0577
Mailing address
262 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 694-4458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024040763
MO
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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