Kim Anne Doerge, MSW, LCSW
Social Worker, Clinical in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1497920060
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1497920060
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kim Anne Doerge
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2008
- Certification date
- May 27, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 004678 | MO | Yes |
Practice location
757 Tahlequah LnCape Girardeau, MO 63701-8145
Phone 636-328-5641
Mailing address
757 Tahlequah LnCape Girardeau, MO 63701-8145
Phone 636-328-5641
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