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Individual

DR. PATRICIA KYLE DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
141 N MERAMEC AVE, SUITE 305, CLAYTON, MO 63105-3750
(314) 862-5151
Mailing address
141 N MERAMEC AVE, SUITE 305, CLAYTON, MO 63105-3750
(314) 862-5151

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000303
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW000303
LCSW LICENSE NUMBER
MO
Enumeration date
04/07/2007
Last updated
01/11/2011
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