Individual
KELLY O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8008 CARONDELET AVE STE 102, CLAYTON, MO 63105-1724
(314) 329-4326
Mailing address
1507 PEACH TREE LN, PACIFIC, MO 63069-1836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018015948
MO
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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