Individual
MRS. NICKI S. MCCLUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCSW
Contact information
Practice address
721 VILLA CAPRI CT, SAINT LOUIS, MO 63132-3604
(314) 432-2549
Mailing address
721 VILLA CAPRI CT, SAINT LOUIS, MO 63132-3604
(314) 432-2549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002568
MO
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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