Individual
MARY KATHLEEN SIMOKAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 S NEW BALLAS RD, YG230, SAINT LOUIS, MO 63141-8221
(314) 251-5399
(314) 251-5552
Mailing address
615 SOUTH NEW BALLAS, YG230, SAINT LOUIS, MO 63141
(314) 251-5399
(314) 251-5552
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
001479
MO
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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