Individual
KATHLEEN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5 PREMIER DR STE 200, FENTON, MO 63026-2943
(314) 544-3800
Mailing address
5 PREMIER DR STE 200, FENTON, MO 63026-2943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021037759
MO
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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