Individual
MS. NELLY LINDA DEGRAW
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
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149006854
IL
1041C0700X
Clinical Social Worker
Primary
1999135361
MO
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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