Individual
ALIZA JEWELL WYROSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 206-3400
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(315) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/03/2020
Last updated
12/28/2022
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