Individual
MS. KELLENNE Z STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, BA, BS
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 570-7866
Mailing address
4504 SOUTHRIDGE PINES DR, SAINT LOUIS, MO 63128-2307
(314) 239-1989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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