Individual
MS. MARTHA JANE FENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
13431 LAND O WOODS DR., ST. LOUIS, MO 63141-6027
(314) 514-7749
Mailing address
13431 LAND O WOODS DR., ST. LOUIS, MO 63141-6027
(314) 514-7749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000863
MO
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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