Individual
JESSICA NICOLE KRETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 852-2138
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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