Individual
LINDA WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
7396 PERSHING AVE, SAINT LOUIS, MO 63130-4206
(314) 588-8924
Mailing address
7396 PERSHING AVE, SAINT LOUIS, MO 63130-4206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493251102
—
MO
Enumeration date
01/17/2007
Last updated
07/08/2007
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