Individual
MS. LISA ANN MANZINI-PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4412
(314) 525-4420
Mailing address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4412
(314) 525-4420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1634-C
AR
1041C0700X
Clinical Social Worker
Primary
2013003625
MO
Other
Enumeration date
02/05/2008
Last updated
03/31/2017
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