Individual
ANNA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4471 OLIVE ST, SAINT LOUIS, MO 63108-1807
(314) 531-0982
Mailing address
4431 CHOUTEAU AVE APT 1207, SAINT LOUIS, MO 63110-1607
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2019043399
MO
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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