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Individual

MYESHA TANAI THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2023020335
MO
1041C0700X
Clinical Social Worker
Primary
2023020335
MO
1041S0200X
School Social Worker

Other

Enumeration date
07/31/2020
Last updated
06/21/2023
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