Individual
PETER MAFFLY-KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
231 W LOCKWOOD AVE, SUITE 202, SAINT LOUIS, MO 63119-2951
(314) 737-4070
Mailing address
16 SAINT ALFRED RD, SAINT LOUIS, MO 63132-4119
(314) 991-9951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013029929
MO
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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