Individual
ANDREA THAVORIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7262 CORNELL AVE, SAINT LOUIS, MO 63130-3024
(314) 368-7658
Mailing address
7262 CORNELL AVE, SAINT LOUIS, MO 63130-3024
(314) 368-7658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023008961
MO
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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