Individual
KATHERINE ELIZABETH GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1220 N LINDBERGH BLVD, SAINT LOUIS, MO 63132-1704
(314) 785-0180
(314) 227-4552
Mailing address
1071 COLBY AVE, SAINT LOUIS, MO 63130-2536
(314) 725-7397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003814
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493715411
—
MO
Enumeration date
05/22/2007
Last updated
08/03/2011
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