Individual
CAROL ELISE NEWMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
538 WESTERNMILL DR, CHESTERFIELD, MO 63017-2737
(314) 807-1596
Mailing address
538 WESTERNMILL DR, CHESTERFIELD, MO 63017-2737
(314) 807-1596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000611
MO
1041C0700X
Clinical Social Worker
128131
WI
1041C0700X
Clinical Social Worker
150101647
IL
Other
Enumeration date
04/06/2022
Last updated
10/09/2024
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