Individual
MRS. LINDA SUSAN PEVNICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10420 OLD OLIVE STREET RD, SUITE 105, CREVE COEUR, MO 63141-5914
(314) 567-5360
Mailing address
10420 OLD OLIVE STREET RD, SUITE 105, CREVE COEUR, MO 63141-5914
(314) 567-5360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
800
MO
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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