Individual
MRS. KAREN FAYE DIEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, ACSW, LCSW
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
19 LANTANA DR, SAINT LOUIS, MO 63123-1015
(314) 849-7403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
800418
MI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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