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Individual

MS. THERESA M OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3114 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(314) 781-7900
(314) 781-7914
Mailing address
3114 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(314) 781-7900
(314) 781-7914

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002875
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0050046694
MHNET
MO
01
0791113
BSHCN TBI CO
MO
01
113456
MERCY UNITY
MO
01
167552
ANTHAM BCBS
MO
Enumeration date
01/19/2007
Last updated
07/09/2007
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