Individual
KATIE A KELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 FOREST HILL DR, SAINT CHARLES, MO 63303-5718
(636) 284-5578
Mailing address
112 FOREST HILL DR, SAINT CHARLES, MO 63303-5718
(636) 284-5578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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