Individual
MRS. AMY KRISTINE KONSEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 MISSISSIPPI AVE, CRYSTAL CITY, MO 63019-1633
(314) 435-6848
Mailing address
4723 ALMA AVE, SAINT LOUIS, MO 63116-1101
(217) 836-9787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2013017694
MO
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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