Individual
KATIE LYNN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1750 S BRENTWOOD BLVD STE 205, SAINT LOUIS, MO 63144-1315
(314) 881-0350
(816) 508-3535
Mailing address
1937 ROYAL HEIR DR, O FALLON, MO 63366-4357
(618) 407-5212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023017842
MO
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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