Individual
KALYN ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 BROADWAY ST, SUITE C, MOUNT VERNON, IL 62864-2973
(314) 627-0313
Mailing address
2020 BROADWAY ST # C, MOUNT VERNON, IL 62864-2973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2011028236
MO
Other
Enumeration date
05/15/2015
Last updated
05/03/2024
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