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Individual

MR. DARRIS LAMONT WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LMSW

Contact information

Practice address
4307 LACLEDE AVE, CWE THERAPY SUITE, SAINT LOUIS CITY, MO 63108
(314) 494-5288
Mailing address
4307 LACLEDE AVE, CWE THERAPY SUITE, SAINT LOUIS CITY, MO 63108
(314) 494-5288

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022042642
MO

Other

Enumeration date
06/05/2024
Last updated
06/05/2024
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