Individual
PATRICIA ANNE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
621 S NEW BALLAS RD STE 6017B, SAINT LOUIS, MO 63141-8274
(314) 251-7840
Mailing address
621 S NEW BALLAS RD STE 6017B, SAINT LOUIS, MO 63141-8274
(314) 251-7840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022014963
MO
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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