Individual
MS. DEBRA WALLISH BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1031 PERUQUE CROSSING CT, O FALLON, MO 63366-2362
(636) 887-9655
(636) 887-3655
Mailing address
1031 PERUQUE CROSSING CT, O FALLON, MO 63366-2362
(636) 887-9655
(636) 887-3655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005487
MO
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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