Individual
AMY KAELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1107 BROADWAY ST, LAMAR, MO 64759-1758
(417) 682-5757
(417) 682-5757
Mailing address
1107 BROADWAY ST, LAMAR, MO 64759-1758
(417) 682-5757
(417) 682-5757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005034483
MO
Other
Enumeration date
05/15/2006
Last updated
11/07/2017
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