Individual
ALYSSA PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
225 S MERAMEC AVE, 1029T, SAINT LOUIS, MO 63105-3511
(314) 974-2149
Mailing address
5295 WATERMAN BLVD, APT. A23, SAINT LOUIS, MO 63108-1162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004378
MO
Other
Enumeration date
06/13/2009
Last updated
05/27/2010
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