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Individual

CARRIE SILVER STOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1137 N MAIN ST, SUITE 2, O FALLON, MO 63366-1498
(636) 294-4640
Mailing address
760 TIMBERVALLEY CT, CHESTERFIELD, MO 63017-1773
(314) 374-5795
(636) 794-3030

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005012265
MO

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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