Individual
ELIZABETH ANNE RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1124 WILSHIRE AVE, SAINT LOUIS, MO 63130-2141
(314) 494-2556
Mailing address
1124 WILSHIRE AVE, SAINT LOUIS, MO 63130-2141
(314) 494-2556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009024671
MO
Other
Enumeration date
04/30/2011
Last updated
04/30/2011
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