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Individual

JUSTIN RYAN HOPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
515 N JEFFERSON AVE, SAINT LOUIS, MO 63103-3000
(314) 443-6542
Mailing address
4247 BARCELOS DR, APT. A, SAINT LOUIS, MO 63129-1881
(850) 241-8022

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018645
IL

Other

Enumeration date
12/13/2016
Last updated
12/13/2016
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