Provider Demographics
NPI:1114021896
Name:SANDERS-MOWBRAY, RONDA GAY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RONDA
Middle Name:GAY
Last Name:SANDERS-MOWBRAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3614
Mailing Address - Country:US
Mailing Address - Phone:816-931-0166
Mailing Address - Fax:
Practice Address - Street 1:800 W 35TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3614
Practice Address - Country:US
Practice Address - Phone:816-931-0166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001490951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical