Individual
KEMBERLEE MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
(314) 413-3526
Mailing address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016044445
MO
Other
Enumeration date
01/08/2017
Last updated
12/30/2017
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