Individual
KRISTEN D BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8700
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 814-8700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019018467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019018467
LICENSE
MO
Enumeration date
06/17/2019
Last updated
06/17/2019
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