Individual
MRS. ROESHELLE RENNE MU'MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11222 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1037
(314) 691-7815
(314) 438-9398
Mailing address
11222 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1037
(314) 691-7815
(314) 438-9398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004019227
MO
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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