Individual
AMY BOURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2420 WOODSON RD, SAINT LOUIS, MO 63114-5499
(314) 493-6010
Mailing address
2420 WOODSON RD, SAINT LOUIS, MO 63114-5499
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2025001717
MO
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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