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Individual

ALEXANDER WALTER WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 W ESSEX AVE, KIRKWOOD, MO 63122-3608
(314) 213-6110
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MO
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1649785411
LPC
MO
01
431343281
HOSPITAL
MO
Enumeration date
12/02/2017
Last updated
08/31/2022
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