Individual
KATHERINE MARIE WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., PLPC
Contact information
Practice address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(660) 882-6400
(660) 882-7137
Mailing address
747 6TH ST, BOONVILLE, MO 65233-1601
(660) 621-4367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013000302
MO
Other
Enumeration date
01/16/2013
Last updated
06/12/2014
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