Individual
MONICA UTHLAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16216 BAXTER RD, STE. 205, CHESTERFIELD, MO 63017-4770
(636) 532-9188
Mailing address
597 MEADOWRIDGE DR, KIRKWOOD, MO 63122-3015
(314) 852-0852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2012010612
MO
1041C0700X
Clinical Social Worker
Primary
2012010612
MO
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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