Organization
CLAYTON BEHAVIORAL
Active
Organization
CLAYTON BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN CAROTHERS LCSW (THERAPIST)
(314) 222-5860
Entity
Organization
Contact information
Practice address
9890 CLAYTON RD, SAINT LOUIS, MO 63124-1685
(314) 222-5860
(314) 222-5861
Mailing address
9890 CLAYTON RD, SAINT LOUIS, MO 63124-1685
(314) 222-5860
(314) 222-5861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012013694
MO
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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