Individual
DAVID RICHARD IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 GRAHAM RD STE AND102, FLORISSANT, MO 63031-8077
(314) 206-3900
Mailing address
1068 VILLA SAINT CYR PL, SAINT LOUIS, MO 63137-1322
(314) 769-4722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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