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Organization

KIM A. KNUTSEN, LCSW

Active
Other names
Kim A. Knutsen, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
KIM ANN KNUTSEN LCSW (THERAPIST)
(314) 852-7474
Entity
Organization

Contact information

Practice address
10016 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1400
(314) 525-7260
Mailing address
10016 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1400
(314) 525-7260

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
004535
MO
305R00000X
Preferred Provider Organization
004535
MO

Other

Enumeration date
07/12/2007
Last updated
07/12/2007
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