Individual
RAJEEV JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LC SW
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8755
(314) 814-8721
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8755
(314) 814-8721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002854
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002854
—
MO
Enumeration date
10/06/2008
Last updated
10/06/2008
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