Individual
OLIVIA ROSE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-0810
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2017010561
MO
1041C0700X
Clinical Social Worker
Primary
2019025121
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019025121
LICENSED CLINICAL SOCIAL WORKER
MO
Enumeration date
08/14/2017
Last updated
10/25/2021
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