Individual
CAROLINE KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12647 OLIVE BLVD STE 600, SAINT LOUIS, MO 63141-6346
(800) 325-3982
Mailing address
3430 ANDREWS DR APT 220, PLEASANTON, CA 94588-3029
(818) 984-7660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23577
CA
Other
Enumeration date
04/26/2009
Last updated
04/26/2009
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