Individual
MS. KATHRYN LAVINIA GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108-2212
(314) 286-1700
(314) 286-1777
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1700
(314) 286-1777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021040250
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490116462
—
MO
Enumeration date
09/26/2022
Last updated
04/17/2025
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