Individual
STONE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 943-8175
Mailing address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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