Individual
ANNA KATHERINE WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8045 BIG BEND BLVD, SAINT LOUIS, MO 63119-2709
(413) 800-0311
Mailing address
8045 BIG BEND BLVD, SAINT LOUIS, MO 63119-2709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015016313
MO
Other
Enumeration date
02/01/2023
Last updated
07/31/2023
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