Individual
KATHY LYNN PFAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPSW, LPC, LMSW
Contact information
Practice address
1221 BROADWAY, HANNIBAL, MO 63401-4005
(573) 221-2111
Mailing address
224 1/2 N 18TH ST, QUINCY, IL 62301-3112
(573) 217-7797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
150.002540
IL
104100000X
Social Worker
Primary
2010034145
MO
Other
Enumeration date
02/05/2010
Last updated
06/29/2023
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