Individual
KELSIE RENAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 N JEFFERSON AVE, SAINT LOUIS, MO 63103-3000
(314) 652-4100
Mailing address
2145 CALLE VISTA DR, FLORISSANT, MO 63031-7613
(417) 840-9420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017041043
MO
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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