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Organization · Clinical Social Worker · O Fallon, MO

NPI
1265939672
Type
Organization (Type 2)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
2013045632 (MO)
Enumerated
2018-04-11
Last updated
2018-04-11
Practice location
103 Lincoln St
O Fallon, MO 63366-1603
(636) 443-3704

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