Individual
MARY P WEGERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
1117 PINELLAS BAYWAY S 401, ST PETERSBURG, FL 33715-2169
(727) 667-7281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
037568
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037568
NY CLINICAL SOCIAL WORK LICENSE
NY
Enumeration date
09/26/2006
Last updated
01/05/2024
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