Individual
KAITLYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
1310 HRC PLAZA DR, LAKE SAINT LOUIS, MO 63367-1869
(636) 339-4475
Mailing address
3903 NOTTINGHAM ESTATES DR, SAINT LOUIS, MO 63129-1544
(636) 375-6752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024024824
MO
Other
Enumeration date
09/05/2024
Last updated
03/26/2026
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