Provider Information for 1316315484
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KRISTA SHERMAN MSW, LCSW
Sex: Female
NPI: 1316315484
Last Updated: 2023-06-02
Certification Date: 2023-06-02
Certification Date: 2023-06-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316315484 | ||||||||||||
| Enumeration Date | 2015-09-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12110 CLAYTON RD SAINT LOUIS, MO 63131-2516 United States Phone: 314-989-8100 | Fax: | ||||||||||||
| Primary Practice Address | 12110 CLAYTON RD SAINT LOUIS, MO 63131-2516 United States Phone: 314-989-8100 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 10 JAY DEE CT | ||||||||||||
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