Individual
MRS. LAURA CROSS WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4507B LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(314) 913-4864
(314) 771-1232
Mailing address
3924 BLAINE AVE, SAINT LOUIS, MO 63110-2631
(314) 913-4864
(314) 771-1232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002018127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498995604
—
MO
Enumeration date
04/17/2007
Last updated
07/31/2009
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