Individual
STACEY ELAINE TADOKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1715 E CEDAR ST, SUITE 115, OLATHE, KS 66062-1891
(816) 977-3178
(816) 623-5612
Mailing address
1715 E CEDAR ST, SUITE 115, OLATHE, KS 66062-1891
(816) 977-3178
(816) 623-5612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3935
KS
Other
Enumeration date
01/08/2008
Last updated
07/18/2016
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