Individual
AMANDA CHRISTINE MCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
2002 BRUTUS CT, FENTON, MO 63026-2112
(314) 852-0991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021044349
MO
1041S0200X
School Social Worker
2011009368
MO
Other
Enumeration date
02/11/2019
Last updated
11/02/2021
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