Individual
MARK BEIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
215 S KIRKWOOD RD, SUITE 202, KIRKWOOD, MO 63122-4305
(314) 822-0650
Mailing address
215 S KIRKWOOD RD, SUITE 202, KIRKWOOD, MO 63122-4305
(314) 822-0650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 005651
MO
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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