Individual
STEPHANIE C MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(314) 206-3900
Mailing address
1655 SAINT ANTHONY LN, FLORISSANT, MO 63033-6242
(314) 498-4716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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