Organization
THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNDRA DANIELLE WILLIAMS LCSW (CLINICAL SOCIAL WORKER)
(314) 873-9723
Entity
Organization
Contact information
Practice address
1868 MCKELVEY HILL DR, APT D, MARYLAND HEIGHTS, MO 63043-3926
(314) 873-9723
Mailing address
1868 MCKELVEY HILL DR, APT D, MARYLAND HEIGHTS, MO 63043-3926
(314) 873-9723
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
2016016569
MO
251S00000X
Community/Behavioral Health Agency
Primary
2016016569
MO
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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