Individual
DEBORAH E WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
819 S CENTRAL AVE, SAINT LOUIS, MO 63105-2611
(314) 727-1212
(317) 727-1212
Mailing address
819 S CENTRAL AVE, SAINT LOUIS, MO 63105-2611
(314) 727-1212
(317) 727-1212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000422
MO
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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