Individual
KELLY PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2026 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2404
(314) 502-9460
Mailing address
2026 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2404
(314) 502-9460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
201700515
MO
Other
Enumeration date
03/10/2017
Last updated
01/26/2023
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