Individual
MS. NANCY L. PHILLIPS-KUELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3442 DUNNICA AVE, SAINT LOUIS, MO 63118-4222
(314) 605-9270
Mailing address
3442 DUNNICA AVE, SAINT LOUIS, MO 63118-4222
(314) 605-9270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2000174417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495171621
—
MO
Enumeration date
06/26/2007
Last updated
02/10/2011
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