Individual
STACY V BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12377 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7183
Mailing address
12377 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020038236
MO
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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