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Individual

MS. KIM GREGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, LPC

Contact information

Practice address
700 S KIRKWOOD RD, KIRKWOOD, MO 63122
(314) 213-6100
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2015043837
LPC
MO
Enumeration date
09/23/2015
Last updated
08/07/2018
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