Organization
IMAGINE PEACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PROBST WARDEN LCSW (OWNER)
(314) 737-6848
Entity
Organization
Contact information
Practice address
425 MARSHALL AVE, WEBSTER GROVES, MO 63119-1833
(314) 737-6848
Mailing address
425 MARSHALL AVE, WEBSTER GROVES, MO 63119-1833
(314) 737-6848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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