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1770820037
LISA L KRYSTOSEK
SAINT LOUIS, MO
NPI
1770820037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2012037167)
Enumeration Date
2013-01-07
Last Update Date
2022-09-28
Business Address
Ms. LISA L KRYSTOSEK LPC
8135 MANCHESTER RD
SAINT LOUIS, MO 63144-2821
Phone number: 314-779-4550
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Mailing Address
Ms. LISA L KRYSTOSEK LPC
925 WESTMINSTER ABBY LN APT 301
FENTON, MO 63026-7708
Phone number: 314-779-4550
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