Individual
KIMBERLY LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ATR
Contact information
Practice address
7110 OAKLAND AVE STE 104, SAINT LOUIS, MO 63117-1870
(314) 805-9421
(314) 644-7144
Mailing address
7110 OAKLAND AVE STE 104, SAINT LOUIS, MO 63117-1870
(314) 805-9421
(314) 298-9983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002324
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495868614
—
MO
Enumeration date
09/30/2005
Last updated
07/30/2020
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