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Individual

HANNAH MAGDALENE29 PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1847 BOULDER SPRINGS DRIVE, ST. LOUIS, MO 63146
(314) 384-9689
Mailing address
1847 BOULDER SPRINGS DR APT J, SAINT LOUIS, MO 63146-3954
(314) 882-4390

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023009660
MO

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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