Individual
MS. LAKEYSHA RENEE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3737 S ELIZABETH ST STE 200, INDEPENDENCE, MO 64057-1785
(816) 673-4105
(816) 795-1700
Mailing address
3737 S ELIZABETH ST STE 200, INDEPENDENCE, MO 64057-1785
(816) 673-4105
(816) 795-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016013955
MO
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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