Individual
MRS. ELAINE THAYER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12813 FLUSHING MEADOWS DR, STE 140, SAINT LOUIS, MO 63131-1835
(314) 712-8354
(314) 872-8033
Mailing address
12813 FLUSHING MEADOWS DR, STE 140, SAINT LOUIS, MO 63131-1835
(314) 712-8354
(314) 872-8033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000549
MO
Other
Enumeration date
11/02/2009
Last updated
09/23/2019
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