Individual
JULIANA LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1340 PARTRIDGE AVE, SAINT LOUIS, MO 63130-1943
(314) 854-5738
(314) 854-5750
Mailing address
1340 PARTRIDGE AVE, SAINT LOUIS, MO 63130-1943
(314) 854-5738
(314) 854-5750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001448
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495961609
—
MO
Enumeration date
08/28/2008
Last updated
08/28/2008
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