Individual
ANDREW ZEMCUZNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11457 OLDE CABIN RD STE 345, CREVE COEUR, MO 63141
(314) 537-5035
(636) 517-1176
Mailing address
724 SPRING HILL FARM DR, BALLWIN, MO 63021-8419
(636) 225-3373
(636) 517-1176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000129
MO
Other
Enumeration date
08/13/2014
Last updated
08/13/2018
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