Individual
PHILIP R HENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9029 OLD BONHOMME RD, SAINT LOUIS, MO 63132-4415
(314) 994-3027
(314) 994-9149
Mailing address
9029 OLD BONHOMME RD, SAINT LOUIS, MO 63132-4415
(314) 994-3027
(314) 994-9149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000031
MO
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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