Most Relevant Information
Provider Data
| NPI Number: | 1003643461 |
| Provider Name: | KATHERINE FEZZI LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 2024021246 |
Most Important Dates
| Enumeration Date: | 09/18/2024 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
9904 CLAYTON RD STE 135
SAINT LOUIS
MO
631241149
Practice Location Phone/Fax
| Phone: | 3142225830 |
| Fax: |
Provider Mailing Location
9904 CLAYTON RD STE 135
SAINT LOUIS
MO
631241149
Provider Mailing Phone/Fax
| Phone: | 3142225830 |
| Fax: |