Individual
MR. ALLEN IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
7350 CARLETON AVE, SAINT LOUIS, MO 63130-1713
(314) 973-7601
Mailing address
7350 CARLETON AVE, SAINT LOUIS, MO 63130-1713
(314) 973-7601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 004145
MO
Other
Enumeration date
06/27/2007
Last updated
07/09/2007
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