Individual
EULA YVONNE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8336 STRATHMORE PL, SAINT LOUIS, MO 63136-2542
(314) 277-5385
Mailing address
8336 STRATHMORE PL, SAINT LOUIS, MO 63136-2542
(314) 277-5385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004169
—
MO
Enumeration date
02/25/2015
Last updated
02/25/2015
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