Individual
JUDITH MARIE NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 WATSON RD STE G101, SAINT LOUIS, MO 63126-1528
(314) 544-3800
Mailing address
1041 JOANNA AVE, SAINT LOUIS, MO 63122-1821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002036
MO
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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