Individual
MRS. KRYSTY ANN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
510 N 25TH ST APT 9, EAST SAINT LOUIS, IL 62205-2341
(618) 530-1303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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