Individual
LAUREN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10024 OFFICE CENTER AVE, STE 100, SAINT LOUIS, MO 63128-1381
(314) 720-7050
(314) 729-0920
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012031435
MN
Other
Enumeration date
12/14/2015
Last updated
09/03/2024
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