Individual
MS. KIMBERLY NICOLE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
4862 BLUESAGE TRL, FLORISSANT, MO 63033-7502
(314) 653-0466
Mailing address
4862 BLUESAGE TRL, FLORISSANT, MO 63033-7502
(314) 653-0466
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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