Organization
TERRELL BORUM, MSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL BORUM LCSW (OWNER)
(314) 556-2793
Entity
Organization
Contact information
Practice address
8434 PAGE AVE, SAINT LOUIS, MO 63130-1046
(314) 556-2793
Mailing address
45 PROVINCIAL CT, SAINT LOUIS, MO 63122-1506
(314) 556-2795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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