Individual
SALLY TERRANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(314) 239-2728
(949) 561-4148
Mailing address
4129 FILLMORE ST, SAINT LOUIS, MO 63116-2916
(914) 819-3368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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