Individual
KATHLEEN BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LMSW
Contact information
Practice address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1219
Mailing address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023024749
MO
Other
Enumeration date
10/10/2014
Last updated
06/28/2024
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