Individual
SOPHIA C DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2025020169
MO
1041S0200X
School Social Worker
Primary
2025020169
MO
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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