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Individual

MRS. KATHLEEN M LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
200 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1637
(314) 578-3087
Mailing address
326 MERRIMAC DOWNS, SAINT PETERS, MO 63376-7708
(314) 578-3087

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002432
MO

Other

Enumeration date
12/27/2022
Last updated
12/27/2022
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