Individual
MRS. LISA M VONWAHLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2800 W ELM ST, SAINT CHARLES, MO 63301-4618
(314) 787-5100
(314) 754-2800
Mailing address
8631 DELMAR BLVD, SAINT LOUIS, MO 63124-1990
(314) 787-5100
(314) 754-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007001396
MO
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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