Individual
LAVEINA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12355 DEPAUL DRIVE, SUITE 105, BRIDGETON, MO 63044
(314) 327-6896
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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