Individual
LUZ A BWANGA MABONGHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 267-5967
Mailing address
1801 SAN MIGUEL DR, SAINT CHARLES, MO 63303-3251
(636) 206-0539
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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