Individual
LANDY MAURER WEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
627 S SAPPINGTON RD, SAINT LOUIS, MO 63122-6548
(314) 740-1331
Mailing address
627 S SAPPINGTON RD, SAINT LOUIS, MO 63122-6548
(314) 740-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1999140934
MO
Other
Enumeration date
02/01/2007
Last updated
07/21/2011
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