Individual
MR. PAUL DOUGLAS DRAKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
7530 CANTON AVE, SAINT LOUIS, MO 63130-1614
(314) 726-0464
(314) 382-0952
Mailing address
7530 CANTON AVE, SAINT LOUIS, MO 63130-1614
(314) 726-0464
(314) 382-0952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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