Individual
KRISTA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11709 OLD BALLAS RD STE 203, CREVE COEUR, MO 63141-7029
(314) 956-5531
(314) 594-4301
Mailing address
11709 OLD BALLAS RD STE 203, CREVE COEUR, MO 63141-7029
(314) 956-5531
(314) 594-4301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021029384
MO
Other
Enumeration date
08/06/2021
Last updated
01/22/2024
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