Individual
MRS. KRISTIN J CHARLESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
107 WARD TER, CRYSTAL CITY, MO 63019-1707
(314) 546-5242
Mailing address
107 WARD TER, CRYSTAL CITY, MO 63019-1707
(314) 546-5242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011039647
MO
Other
Enumeration date
12/12/2011
Last updated
02/23/2012
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