Individual
KATHERINE L. WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000427
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494724925
—
MO
Enumeration date
11/29/2006
Last updated
02/06/2023
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