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Individual

KATHLEEN MARIE KALLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, BCPC

Contact information

Practice address
13160 COUNTY RD 3610, ST. JAMES, MO 65559
(573) 265-3251
(573) 265-0156
Mailing address
591 SYCAMORE DR, ROLLA, MO 65401-4733
(573) 433-0315

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005009300
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497293605
MO
Enumeration date
11/17/2006
Last updated
09/09/2010
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