Individual
MS. SALLY KOESTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CEAP
Contact information
Practice address
2646 HIGHWAY 109 STE 203, WILDWOOD, MO 63040-1162
(314) 484-7255
Mailing address
7349 COLGATE AVE, UNIVERSITY CITY, MO 63130-2932
(314) 484-7255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004811
MO
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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