Individual
ALEXIS SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 329-4326
Mailing address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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