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Individual

LENA PEARLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
655 CRAIG RD, SUITE 320, CREVE COEUR, MO 63141-7132
(314) 458-5551
Mailing address
655 CRAIG RD, SUITE 320, CREVE COEUR, MO 63141-7132
(314) 458-5551

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2011017666
MO
1041C0700X
Clinical Social Worker
Primary
2013032189
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2011017666
LICENSED MASTER SOCIAL WORKER - DIVISION OF PROFESSIONAL REGISTRATION
MO
01
2013032189
LICENSED CLINICAL SOCIAL WORKER
MO
Enumeration date
02/28/2012
Last updated
07/22/2014
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