Individual
MCKAYLA BOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 OAKTIMBER CT, SAINT LOUIS, MO 63122-6729
(417) 308-8705
Mailing address
550 W B ST FL 4, SAN DIEGO, CA 92101-3537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022047471
MO
Other
Enumeration date
08/15/2024
Last updated
02/17/2026
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