Individual
SUSAN ELAINE KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13160 CR 3610, ST JAMES, MO 65559
(573) 265-3251
(573) 265-0156
Mailing address
PO BOX 189, SAINT JAMES, MO 65559-0189
(573) 265-3251
(573) 265-0156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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