Individual
MRS. DE-ANDREA BLAYLOCK-SOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CST
Contact information
Practice address
9666 OLIVE BLVD STE 330, SAINT LOUIS, MO 63132-3035
(314) 877-8510
Mailing address
9666 OLIVE BLVD STE 330, SAINT LOUIS, MO 63132-3035
(314) 877-8510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010006307
MO
Other
Enumeration date
04/20/2010
Last updated
05/09/2023
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