Individual
JANET W KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5667
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
19-09P
AR
103TC0700X
Clinical Psychologist
Primary
2020014107
MO
Other
Enumeration date
09/05/2019
Last updated
11/09/2020
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