Individual
SALLY CLAUDETTE RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
8150 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 508-3500
Mailing address
5040 N FLORA AVE, KANSAS CITY, MO 64118-5950
(816) 453-0087
(816) 508-3535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 1793
MO
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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