Individual
MS. RUTH LEE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3401 GILES AVE, SAINT LOUIS, MO 63116-4706
(314) 773-3729
Mailing address
3401 GILES AVE, SAINT LOUIS, MO 63116-4706
(314) 773-3729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2000166245
MO
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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