BREANNA LYNN DOUGLAS

SAINT LOUIS, MO
NPI1063146199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2020034451)
Enumeration Date2022-07-14
Last Update Date2022-07-14
Business Address
BREANNA LYNN DOUGLAS LCSW
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132-1716
Phone number: 314-534-9350
Mailing Address
BREANNA LYNN DOUGLAS LCSW
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-534-9350