Individual
MISS KYLE BRANDT-LUBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4234 HYDRAULIC AVE, SAINT LOUIS, MO 63116-4438
(347) 385-4713
Mailing address
4234 HYDRAULIC AVE, SAINT LOUIS, MO 63116-4438
(347) 385-4713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020012817
MO
Other
Enumeration date
02/13/2019
Last updated
02/05/2024
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