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NPI Code Detail

MEDICARE: MS. KRIS M WESCHE MSSW

MEDICARE:  MS. KRIS M WESCHE  MSSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker004475MO

General Provider Information

NPI Number : 1841535168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRIS M WESCHE MSSW
Provider Business Mailing Address
First Line : 3643 HEMPSTEAD ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-8104
Country : US
Telephone Number : 314-853-0735
Fax Number :
Provider Business Practice Location Address
First Line : 1000 LAKE SAINT LOUIS BLVD STE 210
Second Line :
City : LAKE SAINT LOUIS
State : MO
Zip : 63367-2923
Country : US
Telephone Number : 314-853-0735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 11/28/2012

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Directions to “ MS. KRIS M WESCHE MSSW” Practice Location

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