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1730952854
KAYLENE PORTELL
SAINT LOUIS, MO
NPI
1730952854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2021012159)
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
KAYLENE PORTELL MSW, LCSW
2617 MINNESOTA AVE
SAINT LOUIS, MO 63118-1305
Phone number: 314-884-1427
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Mailing Address
KAYLENE PORTELL MSW, LCSW
5016 DEVONSHIRE AVE
SAINT LOUIS, MO 63109-2405
Phone number: 314-808-5613
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