Individual
MS. MYKAEL ELISA ORNBAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4236 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2948
(314) 531-1155
Mailing address
4236 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2948
(314) 531-1155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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