Individual
MISS KATHERINE MANNEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 N GORE AVE STE 202, WEBSTER GROVES, MO 63119-2315
(314) 596-2049
Mailing address
16 N GORE AVE STE 202, WEBSTER GROVES, MO 63119-2315
(314) 596-2049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023042964
MO
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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