Individual
MISS MARY LEPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MS, LCSW
Contact information
Practice address
1 JEFFERSON BARRACKS RD, MAILBOX 116A, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, MAILBOX #116A, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/11/2007
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