Organization
CEDAR GROVE COUNSELING, LLC
Active
Organization
CEDAR GROVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FNU MAILISI (LICENSED CLINICAL SOCIAL WORKER)
(314) 325-6886
Entity
Organization
Contact information
Practice address
14323 S OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5739
(314) 325-6886
Mailing address
14323 S OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5739
(314) 325-6886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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