Individual
KRISTEN CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14006 MONTRACHET LN, TOWN AND COUNTRY, MO 63017-8320
(314) 406-9679
Mailing address
14006 MONTRACHET LN, TOWN AND COUNTRY, MO 63017-8320
(314) 406-9679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012013694
MO
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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