Individual
MISS CANDACE RAQUEL-CHRISTEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12355 DE PAUL DR STE 150, BRIDGETON, MO 63044-2581
(314) 344-7153
Mailing address
801 N HANLEY RD APT D, SAINT LOUIS, MO 63130-2828
(314) 971-9118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2021044523
MO
1041C0700X
Clinical Social Worker
Primary
2024018396
MO
Other
Enumeration date
06/06/2023
Last updated
06/17/2024
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