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1902948052
KRISTYN N FANTROY
BRIDGETON, MO
NPI
1902948052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2003016554)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- KRISTYN N FANTROY
3165 MCKELVEY RD SUITE 200
BRIDGETON, MO 63044-2550
Phone number: 314-206-3900
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Mailing Address
-- KRISTYN N FANTROY
1430 OLIVE ST SUITE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
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