KEITH ELLIOTT DECKER

SAINT LOUIS, MO
NPI1063979011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2008005851)
Enumeration Date2019-02-26
Last Update Date2024-01-12
Business Address
KEITH ELLIOTT DECKER
4249 CLAYTON AVE
SAINT LOUIS, MO 63110-1718
Phone number: 314-206-3700
Mailing Address
KEITH ELLIOTT DECKER
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-206-3700