Individual
ANDREW T MAHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
800 OLIVE ST APT 1208, SAINT LOUIS, MO 63101-1526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2015031442
MO
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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