Individual
DOMINICK FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 563-6500
Mailing address
757 ARMSTRONG AVE, KANSAS CITY, KS 66101-2701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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