Individual
KATHRYN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8790 MANCHESTER RD STE 205E, BRENTWOOD, MO 63144-2731
(314) 281-7803
Mailing address
8790 MANCHESTER RD STE 205E, BRENTWOOD, MO 63144-2731
(314) 281-7803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017010375
MO
Other
Enumeration date
12/09/2014
Last updated
12/16/2020
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