Individual
KERI SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8131 CORNELL CT, SAINT LOUIS, MO 63130-3639
(314) 265-5791
Mailing address
8131 CORNELL CT., ST. LOUIS, MO 63130
(314) 265-5791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003015633
MO
Other
Enumeration date
09/21/2011
Last updated
09/15/2015
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