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Individual

ANGELIQUE TEMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 309-6885
Mailing address
9209 E 84TH CT, RAYTOWN, MO 64138-3481
(816) 349-8826

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2020005855
MO
1041S0200X
School Social Worker
2020005855
MO

Other

Enumeration date
05/19/2020
Last updated
05/19/2020
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