Individual
STACY MCCOMISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
(636) 296-0102
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016042115
MO
Other
Enumeration date
02/05/2013
Last updated
12/10/2018
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