Individual
MS. KATHLEEN M BLONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW ACSW
Contact information
Practice address
404 E BOONESLICK, STE B, WARRENTON, MO 63383
(636) 456-7715
(636) 456-0935
Mailing address
404 E BOONESLICK, STE B, WARRENTON, MO 63383
(636) 456-7715
(636) 456-0935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW001698
MO
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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