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Search › Missouri › 172V00000X

Kirah Dickerson, CHW-C

NPI 1578391199 · on the registry since 2024

Practice

Address
9231 W Florissant Ave
Saint Louis, MO 63136
Phone
(314) 504-4706
Organisation at this address
Mpwer
Maranatha Healthcare Pc
Rejuvenating Comprehensive Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
172V00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri