Individual
BRYAN THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
9666 OLIVE BLVD, SUITE 690, OLIVETTE, MO 63132-3013
(314) 952-2426
Mailing address
9666 OLIVE BLVD, SUITE 690, OLIVETTE, MO 63132-3013
(314) 952-2426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.015165
IL
1041C0700X
Clinical Social Worker
Primary
2012018729
MO
Other
Enumeration date
08/11/2013
Last updated
04/15/2014
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