Individual
MARY DEBRA SCHALLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9200 WATSON RD, SUITE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-9212
Mailing address
9200 WATSON RD, SUITE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-9212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001338
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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