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Organization

CARNELIAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE LANDWEHR PHD, LCSW, REAT, CST (OWNER)
(314) 324-3835
Entity
Organization

Contact information

Practice address
7827 TOWN SQUARE AVE # 104-1092, O FALLON, MO 63368-7197
(314) 200-5113
(314) 552-7539
Mailing address
7827 TOWN SQUARE AVE # 104-1092, O FALLON, MO 63368-7197
(314) 200-5113
(314) 552-7539

Taxonomy

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

Other

Enumeration date
03/10/2022
Last updated
09/27/2022
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