Individual
MS. KIM MARIE HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11116 S TOWNE SQ, SUITE 204, SAINT LOUIS, MO 63123-7809
(314) 650-1063
(314) 892-3555
Mailing address
4680 ALLEMANIA STREET, SAINT LOUIS, MO 63116-1002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002557
MO
Other
Enumeration date
10/04/2006
Last updated
10/19/2010
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