Individual
LYNNE BEALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 SOVEREIGN CT STE 211, BALLWIN, MO 63011-4435
(314) 960-2773
Mailing address
301 SOVEREIGN CT, BALLWIN, MO 63011-4441
(314) 960-2773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011009309
MO
Other
Enumeration date
07/20/2014
Last updated
08/04/2014
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