Individual
TAYLOR O'NEIL DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 401-9382
Mailing address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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