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Individual

ALISHIA BROOKE VOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
12166 OLD BIG BEND RD STE 204, KIRKWOOD, MO 63122-6836
(314) 952-2955
Mailing address
4552 RIVERMONT TRL, HOUSE SPRINGS, MO 63051-2000
(314) 952-2955

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019045328
LICENSE
MO
Enumeration date
09/09/2021
Last updated
09/09/2021
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