Organization
GERIATRIC PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHRYN MCKLIN MSW, LCSW (OWNER)
(314) 368-6272
Entity
Organization
Contact information
Practice address
315 CHALMERS ST, SAINT PETERS, MO 63376-2414
(314) 368-6272
Mailing address
315 CHALMERS ST, SAINT PETERS, MO 63376-2414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
11/04/2011
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