Individual
LINDA NICOLE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
10967 CHASE PARK LN, APT. E, SAINT LOUIS, MO 63141-5772
(314) 605-1900
Mailing address
10967 CHASE PARK LN, APT. E, SAINT LOUIS, MO 63141-5772
(314) 605-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006024694
MO
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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