Individual
KELLY DENISE DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1920 S 7TH ST, SAINT LOUIS, MO 63104
(314) 502-9269
Mailing address
1223 BAKEWELL DR, SAINT LOUIS, MO 63137-2129
(314) 265-4054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149006741
IL
1041C0700X
Clinical Social Worker
Primary
20022016385
MO
Other
Enumeration date
05/27/2014
Last updated
11/06/2014
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