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1407403256
KELLIE MARIE BISHOP
SAINT LOUIS, MO
NPI
1407403256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2015034789)
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
KELLIE MARIE BISHOP LCSW
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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Mailing Address
KELLIE MARIE BISHOP LCSW
1528 BRITTANY CV
COTTLEVILLE, MO 63304-7166
Phone number: 573-239-7102
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