Individual
MS. KATHRYN GAIL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3701 S LINDBERGH BLVD STE 205, SAINT LOUIS, MO 63127-1372
(314) 965-1942
(314) 835-1580
Mailing address
3701 S LINDBERGH BLVD STE 205, SAINT LOUIS, MO 63127-1372
(314) 965-1942
(314) 835-1580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000180
MO
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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