Individual
MR. JEFF MASAYOSHI TADOKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1007 SW WALNUT ST, BLUE SPRINGS, MO 64015-4275
(816) 682-3042
(816) 554-9142
Mailing address
1007 SW WALNUT ST, BLUE SPRINGS, MO 64015-4275
(816) 682-3042
(816) 554-9142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005990
MO
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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