Individual
MS. DEBORAH L TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3739
(636) 486-6356
Mailing address
3000 ARROW ROCK DR, SAINT CHARLES, MO 63303-6502
(314) 303-2762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004936
MO
Other
Enumeration date
10/29/2010
Last updated
09/30/2020
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