Individual
NADIIA PETRENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1034 S BRENTWOOD BLVD, SAINT LOUIS, MO 63117-1223
(716) 406-8024
Mailing address
7360 PERSHING AVE APT 2W, SAINT LOUIS, MO 63130-4230
(716) 406-8024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021034302
MO
Other
Enumeration date
08/26/2021
Last updated
10/18/2023
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