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Individual

MS. KATHY ANN POELKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1515 N WARSON, STE 119, ST LOUIS, MO 63123-1108
(314) 280-8910
(636) 939-0057
Mailing address
43 MILLSTONE, ST CHARLES, MO 63303-2914
(314) 280-8910
(636) 939-0057

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000602
MO

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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