Individual
MR. RANDY W. CALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4697
(913) 328-4603
Mailing address
7353 FALMOUTH ST, PRAIRIE VILLAGE, KS 66208-3254
(913) 671-8508
(913) 328-4603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1754
KS
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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