Individual
EMILY OLIVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9200 WATSON RD STE G101, SAINT LOUIS, MO 63126-1528
(314) 544-3800
Mailing address
2304 WESTVIEW DR, SPRINGFIELD, IL 62704-2170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016043519
MO
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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