Individual
MS. MOLLY JANE BRENDLE-AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10845 OLIVE BLVD STE 150, CREVE COEUR, MO 63141-7760
(314) 561-9757
(314) 561-9050
Mailing address
616 PARK COMMONS CT APT I, VALLEY PARK, MO 63088-2504
(314) 705-2176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018043057
MO
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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