Individual
MS. LISA MARIE BRAZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8631 DELMAR BLVD, SAINT LOUIS, MO 63124-1990
(314) 754-2800
Mailing address
8631 DELMAR BLVD, SAINT LOUIS, MO 63124-1990
(314) 754-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20020277737
MO
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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