Individual
JUSTIN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10024 OFFICE CENTER AVE STE 100, SAINT LOUIS, MO 63128-1392
(314) 729-0920
Mailing address
10024 OFFICE CENTER AVE STE 100, SAINT LOUIS, MO 63128-1392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016025071
MO
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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