Individual
MRS. CHRISTINE M. LAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Contact information
Practice address
501 N LINDBERGH BLVD, SUITE 100, SAINT LOUIS, MO 63141-7844
(314) 239-2204
Mailing address
501 N LINDBERGH BLVD, SUITE 100, SAINT LOUIS, MO 63141-7844
(314) 239-2204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005200
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005200
LICENSED CLINCIAL SOCIAL WORKER NUMBER
MO
05
—
498898923
—
MO
01
—
MA4269
MEDICARE PTAN
—
Enumeration date
08/12/2006
Last updated
08/04/2014
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