Individual
DR. AMANDA CHRISTINE KRACEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4921 PARKVIEW PL, MS #90-35-703, SAINT LOUIS, MO 63110-1032
(314) 454-8633
(314) 362-1904
Mailing address
4921 PARKVIEW PL, MS #90-35-703, SAINT LOUIS, MO 63110-1032
(314) 454-8633
(314) 362-1904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2011035798
MO
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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