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Individual

MS. KATHERINE RENEE MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
136 E WALNUT ST, STE 102, INDEPENDENCE, MO 64050-3990
(816) 318-4430
Mailing address
1217 NW WILLOW DR, GRAIN VALLEY, MO 64029-8014
(816) 920-3085
(816) 581-3738

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6772
KS
1041C0700X
Clinical Social Worker
Primary
2010039063
MO

Other

Enumeration date
01/31/2011
Last updated
05/12/2016
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