Individual
MRS. TRENISE LYNETTE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 OLIVE BLVD, SAINT LOUIS, MO 63141-6393
Mailing address
9759 TULLAMOOR DR, SAINT LOUIS, MO 63136-3067
(314) 368-2230
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2017
Last updated
07/01/2017
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