Individual
MIRANDA NICHOLE HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2301 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150114368
IL
104100000X
Social Worker
Primary
2024036778
MO
104100000X
Social Worker
M-11160
MS
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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