Individual
KELLY L DEGEARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5 PREMIER DR STE 200, FENTON, MO 63026-2943
(314) 544-3800
(314) 843-0552
Mailing address
5 PREMIER DR STE 200, FENTON, MO 63026-2943
(314) 544-3800
(314) 843-0552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016044612
MO
Other
Enumeration date
01/09/2017
Last updated
11/04/2022
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