Individual
LILLIE A LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LMSW
Contact information
Practice address
1804 LAFAYETTE AVE, SAINT LOUIS, MO 63104-2508
(314) 397-9027
Mailing address
1804 LAFAYETTE AVE, SAINT LOUIS, MO 63104-2508
(314) 397-9027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024032601
MO
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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