Individual
ELIN COGAN-ADEWUNMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12255 DEPAUL DRIVE, SUITE 500, BRIDGETON, MO 63044
(314) 209-5180
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004196
LICENSE
MO
Enumeration date
06/19/2015
Last updated
06/19/2015
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