Individual
JAMES PATRICK KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2011035380
MO
1041C0700X
Clinical Social Worker
Primary
2014019232
MO
Other
Enumeration date
07/23/2013
Last updated
10/04/2023
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