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1871510404
MELINDA SUE KAVANAUGH
SAINT LOUIS, MO
NPI
1871510404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MO 2005003884)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Ms. MELINDA SUE KAVANAUGH LCSW
517 S EUCLID AVE
SAINT LOUIS, MO 63110-1007
Phone number: 314-362-6908
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Mailing Address
Ms. MELINDA SUE KAVANAUGH LCSW
PO BOX 8221 7425 FORSYTH
SAINT LOUIS, MO 63156-8221
Phone number: 314-935-0770
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