Individual
DA'LESA GOODSPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 966-0900
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019035038
MO
Other
Enumeration date
05/03/2021
Last updated
09/09/2022
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