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Individual

MS. OLA J. FORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 894-5783
Mailing address
4573 ENRIGHT AVE, SAINT LOUIS, MO 63108-1707
(314) 652-4100
(314) 894-5783

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002126
MO

Other

Enumeration date
07/16/2006
Last updated
07/08/2007
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