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Individual

MR. EDWARD FRANCIS ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6978 CHIPPEWA ST, SUITE #2, SAINT LOUIS, MO 63109-3098
(314) 780-7410
Mailing address
4823 MCCAUSLAND AVE, SAINT LOUIS, MO 63109-3064
(314) 780-7410

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20000167401
MO

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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