Individual
LIAM CHARLES JANSKI-OGUNFIDODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3194A S GRAND BLVD, SAINT LOUIS, MO 63118-1008
(314) 495-5990
Mailing address
PO BOX 63079, SAINT LOUIS, MO 63163-3079
(314) 495-5990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008036369
MO
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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