Individual
JULIA TUBERTY KIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2220 LEMP AVE, SAINT LOUIS, MO 63104-2700
(314) 814-8700
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2000175446
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000175446
—
MO
Enumeration date
05/09/2019
Last updated
05/09/2019
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