Individual
MRS. DIANE M VENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1034 S. BRENTWOOD BLVD, SUITE 678, ST LOUIS, MO 63117
(314) 862-2305
(314) 862-3425
Mailing address
1034 S. BRENTWOOD BLVD., SUITE 678, ST LOUIS, MO 63117
(314) 862-2305
(314) 862-3425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
004088
MO
1041C0700X
Clinical Social Worker
Primary
004088
MO
Other
Enumeration date
10/25/2006
Last updated
02/07/2014
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