Individual
LISA MARIE MOTTOLA ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9378 OLIVE BLVD, SUITE 317, SAINT LOUIS, MO 63132-3215
(314) 994-9344
Mailing address
9378 OLIVE BLVD, SUITE 317, ST. LOUIS, MO 63132
(314) 994-9344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011040123
MO
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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