Individual
AMANDA BROWN KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
12647 OLIVE BLVD, STE 200, SAINT LOUIS, MO 63141-6393
(314) 469-6644
Mailing address
12647 OLIVE BLVD, STE 200, SAINT LOUIS, MO 63141-6393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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