Individual
TOMAS BRENDAN LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
15 COVERED WAGON TRAIL CT, SAINT PETERS, MO 63376-4262
(314) 497-0303
Mailing address
15 COVERED WAGON TRAIL CT, SAINT PETERS, MO 63376-4262
(314) 497-0303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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