Individual
AMY E KERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 N BENTON ST, WAYNESVILLE, MO 65583-2501
(573) 433-2833
Mailing address
15857 TERRIS LN, SAINT ROBERT, MO 65584-7505
(907) 687-2963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
536
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH8832
—
AK
Enumeration date
03/18/2006
Last updated
03/08/2015
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