Individual
KELLY C. DEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.L.P.C.
Contact information
Practice address
15593 BEDFORD FORGE DR, UNIT #21, CHESTERFIELD, MO 63017-4955
(314) 267-5594
Mailing address
15593 BEDFORD FORGE DR, UNIT #21, CHESTERFIELD, MO 63017-4955
(314) 267-5594
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007015598
MO
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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