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Individual

MELISSA ANNE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
9909 CLAYTON RD, SUITE LL2A, SAINT LOUIS, MO 63124-1120
(314) 649-2416
Mailing address
9909 CLAYTON RD, SUITE LL2A, SAINT LOUIS, MO 63124-1120
(314) 649-2416

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115640
MA
1041C0700X
Clinical Social Worker
Primary
2016021511
MO

Other

Enumeration date
03/15/2010
Last updated
01/20/2017
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