DERRICK KENNETH AUSTIN

BRIDGETON, MO
NPI1629556105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2018-08-06
Last Update Date2018-08-06
Business Address
Mr. DERRICK KENNETH AUSTIN
3165 MCKELVEY RD
BRIDGETON, MO 63044-2563
Phone number: 314-295-4878
Mailing Address
Mr. DERRICK KENNETH AUSTIN
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
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