Individual
HOLLY KLOSTERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3900 S OLD HIGHWAY 94, SAINT CHARLES, MO 63304-2800
(636) 486-6941
Mailing address
9135 HERITAGE DR APT C, SAINT LOUIS, MO 63123-4155
(314) 775-6627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019039818
MO
1041C0700X
Clinical Social Worker
Primary
2021042857
MO
Other
Enumeration date
10/06/2021
Last updated
10/25/2021
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