Individual
MS. ANGELA ELEANOR GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1448 SAINT LOUIS ST, FLORISSANT, MO 63033-3444
(314) 374-6278
(314) 667-3398
Mailing address
1448 SAINT LOUIS ST, FLORISSANT, MO 63033-3444
(314) 374-6278
(314) 667-3398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149017866
IL
1041C0700X
Clinical Social Worker
Primary
2014007196
MO
Other
Enumeration date
08/14/2006
Last updated
10/26/2022
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