Individual
KATHLEEN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
953 WYNSTAY CIR, VALLEY PARK, MO 63088-1445
(314) 920-2143
Mailing address
953 WYNSTAY CIR, VALLEY PARK, MO 63088-1445
(314) 920-2143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2015001980
MO
Other
Enumeration date
11/20/2016
Last updated
11/20/2016
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