Individual
ROBERTA KEROSEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12203 BIG BEND RD STE 101, SAINT LOUIS, MO 63122-6848
(314) 717-0190
Mailing address
4340 MERSEY BEND CT, SAINT LOUIS, MO 63129-1943
(314) 835-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020033352
MO
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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