Individual
MISS SERVISA CASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
10341 FOREST BROOK LANE, F, ST LOUIS, MO 63146-5869
(314) 991-8697
Mailing address
10341 FOREST BROOK LANE, F, ST LOUIS, MO 63146-5869
(314) 991-8697
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW000701
MO
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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