Individual
ELIZABETH SUSAN RAY KOWALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12977 N 40 DR STE 309, SAINT LOUIS, MO 63141-8654
(314) 246-0528
Mailing address
12977 N 40 DR STE 309, SAINT LOUIS, MO 63141-8654
(314) 246-0528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149024218
IL
1041C0700X
Clinical Social Worker
Primary
2018036222
MO
Other
Enumeration date
12/07/2012
Last updated
01/22/2025
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