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Individual

ALYSSA BRUSSEE PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
112 W JEFFERSON AVE STE 130, KIRKWOOD, MO 63122-4062
(314) 223-5456
Mailing address
6352 LANSDOWNE AVE, SAINT LOUIS, MO 63109-2217
(314) 223-5456

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016033197
MO

Other

Enumeration date
06/27/2019
Last updated
06/27/2019
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