Individual
ISAAC MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N VANDEVENTER AVE, SAINT LOUIS, MO 63113-3459
(131) 453-4601
Mailing address
1000 N VANDEVENTER AVE, SAINT LOUIS, MO 63113-3459
(314) 534-6015
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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