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Individual

CORA-ANN ROSE MCELWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2165 HAMPTON AVE, SAINT LOUIS, MO 63139-2904
(631) 383-9468
Mailing address
170 SEARS RD, WEST ISLIP, NY 11795-2927
(631) 383-9468

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020037020
MO

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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