Organization
BARBARA J EDELMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA EDELMAN (OWNER)
(314) 780-4906
Entity
Organization
Contact information
Practice address
9859 BIG BEND BLVD, SUITE 105, SAINT LOUIS, MO 63122-6581
(314) 780-4906
Mailing address
9859 BIG BEND BLVD, SUITE 105, SAINT LOUIS, MO 63122-6581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5433
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494776305
—
MO
Enumeration date
09/12/2012
Last updated
10/16/2012
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