Individual
MR. RAYMOND THOMAS FEZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6220 S LINDBERGH BLVD, SUITE 201, SAINT LOUIS, MO 63123-7839
(314) 894-9696
(314) 894-2942
Mailing address
6220 S LINDBERGH BLVD, SUITE 201, SAINT LOUIS, MO 63123-7839
(314) 894-9696
(314) 894-2942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000775
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753263201
—
MO
Enumeration date
10/13/2006
Last updated
07/08/2016
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