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Individual

CONSTANCE LYNNE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
11456 OLIVE BLVD, SUITE 210, CREVE COEUR, MO 63141-7101
(314) 432-7175
Mailing address
11001 CRIMSON DR, SAINT LOUIS, MO 63146-5403
(314) 993-9869

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002325
MO

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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