Individual
MRS. KIMBERLY HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 S NEW BALLAS RD, MERCY KIDS, SAINT LOUIS, MO 63141-8221
(314) 308-0732
Mailing address
10 BERRY HILL CT, SAINT CHARLES, MO 63303-4416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012019810
MO
1041S0200X
School Social Worker
2012019810
MO
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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