Individual
KELLY KATHLEEN CAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7225 MANCHESTER RD, 2ND FLOOR, SAINT LOUIS, MO 63143-2439
(314) 952-3199
Mailing address
7225 MANCHESTER RD, 2ND FLOOR, SAINT LOUIS, MO 63143-2439
(314) 952-3199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007000757
MO
Other
Enumeration date
07/01/2008
Last updated
06/14/2010
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