Individual
CASARAH PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 W CATALPA ST, SPRINGFIELD, MO 65807-1123
(417) 862-3455
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2017024504
MO
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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