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Individual

ALLISON WORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12647 OLIVE BLVD, CREVE COEUR, MO 63141-6393
(636) 578-6100
Mailing address
12647 OLIVE BLVD, CREVE COEUR, MO 63141-6393

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2017007373
MO

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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