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1740315019
RANDY W. CALLSTROM
KANSAS CITY, KS
NPI
1740315019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 1754)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Mr. RANDY W. CALLSTROM LSCSW
1301 N 47TH ST
KANSAS CITY, KS 66102-1705
Phone number: 913-328-4697
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Mailing Address
Mr. RANDY W. CALLSTROM LSCSW
7353 FALMOUTH ST
PRAIRIE VILLAGE, KS 66208-3254
Phone number: 913-671-8508
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