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Individual

MR. MICHAEL JOHN MEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W.,L.C.S.W.

Contact information

Practice address
3309 S. KINGSHIGHWAY BLVD, ST. LOUIS, MO 63139-1101
(314) 534-9350
(314) 533-6047
Mailing address
4116 CARONDELET BLVD., ST. LOUIS, MO 63123-7706
(314) 631-6874
(314) 533-6047

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001457
MO

Other

Enumeration date
12/26/2006
Last updated
07/09/2007
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