Individual
DEBORAH ANNETTE EMMELKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4557 LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(314) 322-2885
Mailing address
4557 LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(314) 322-2885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001171
MO
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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