Individual
MRS. KATHLEEN MARY HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 569-2211
(314) 569-0778
Mailing address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 569-2211
(314) 569-0778
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0459781
MO
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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