Individual
DR. SANDRA DEE RADOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5775 NW 64TH TERRACE, 204, KANSAS CITY, MO 64151
(816) 391-9008
(816) 746-4753
Mailing address
5775 NW 64TH TERRACE, 204, KANSAS CITY, MO 64151
(816) 391-9008
(816) 746-4753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
KS645
KS
103T00000X
Psychologist
Primary
MO01130
MO
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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