Individual
MRS. KATHLEEN TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
12125 WOODCREST EXECUTIVE DR, SUITE 110, SAINT LOUIS, MO 63141-5001
(314) 275-8599
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 110, SAINT LOUIS, MO 63141-5001
(314) 275-8599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009011635
MO
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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