Individual
MR. KENT EUGENE NEWCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002819
MO
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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