Individual
LINDA RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
5821 NOTTINGHAM AVE, SAINT LOUIS, MO 63109-2727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002672
MO
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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