MR. Jerry W. Kiesling, MSW, LCSW

NPI #1063044857 in Sturgeon, Missouri

Provider Information

NPI Number: 1063044857
Entity Type: Individual
Name: MR. Jerry W. Kiesling, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Feb 10, 2020
Last Updated: Feb 10, 2020

Practice Location

Address: 19501 N ROUTE V
City: Sturgeon
State: Missouri
ZIP Code: 65284
Phone: (573) 819-5065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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