Individual
MRS. DIANE C HOLBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
945 CATALPA ST, SAINT LOUIS, MO 63112-0423
(314) 520-8859
Mailing address
945 CATALPA ST, SAINT LOUIS, MO 63112-0423
(314) 520-8859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008005342
MO
Other
Enumeration date
02/27/2008
Last updated
09/02/2016
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