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Individual

MRS. KATHERINE ANNE RUFLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W., L.C.S.W.

Contact information

Practice address
2413 S LAKERIDGE CT, LAKE SAINT LOUIS, MO 63367-2523
(314) 402-7576
Mailing address
2413 S LAKERIDGE CT, LAKE SAINT LOUIS, MO 63367-2523
(314) 402-7576

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2009018950
MO
101YM0800X
Mental Health Counselor
2009018950
MO
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
2009018950
MO

Other

Enumeration date
10/06/2011
Last updated
10/06/2011
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