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Individual

ERICA LEANNE MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LMSW

Contact information

Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
2100 PORTIS AVE APT 1N, SAINT LOUIS, MO 63110-3305
(314) 825-1004

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017037991
MO

Other

Enumeration date
01/31/2018
Last updated
01/31/2018
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