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Individual

KATHRYN RANDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8772 BIG BEND BLVD, WEBSTER GROVES, MO 63119-3730
(314) 962-7788
Mailing address
4041 OLEATHA AVE, SAINT LOUIS, MO 63116-3605
(618) 920-1001

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149015144
IL
1041C0700X
Clinical Social Worker
Primary
2012023791
MO

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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