Individual
JUDITH K. KREISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., A.C.S.W.
Contact information
Practice address
11477 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7130
(314) 567-5000
(314) 567-3110
Mailing address
11477 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7130
(314) 567-5000
(314) 567-3110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000219
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06224
BLUE CROSS BLUE SHIELD
MO
01
—
878519
HEALTHLINK
MO
Enumeration date
10/04/2006
Last updated
10/14/2009
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