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1215350012
PETER MAFFLY-KIPP
SAINT LOUIS, MO
NPI
1215350012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2013029929)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- PETER MAFFLY-KIPP LCSW
231 W LOCKWOOD AVE SUITE 202
SAINT LOUIS, MO 63119-2951
Phone number: 314-737-4070
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Mailing Address
-- PETER MAFFLY-KIPP LCSW
16 SAINT ALFRED RD
SAINT LOUIS, MO 63132-4119
Phone number: 314-991-9951
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