Individual
MRS. ANESSA GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4866 W 135TH ST, LEAWOOD, KS 66224-8715
(913) 820-2106
Mailing address
10221 KESSLER ST APT A, OVERLAND PARK, KS 66212-5354
(605) 782-9713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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