Individual
MRS. CAROL A COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
225 S MERAMEC AVE, SUITE 404, SAINT LOUIS, MO 63105-3511
(314) 412-1445
(314) 863-5904
Mailing address
17 CROSSWINDS DR, SAINT LOUIS, MO 63132-4303
(314) 412-1445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005745
MO
1041C0700X
Clinical Social Worker
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196525
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/26/2007
Last updated
07/08/2007
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