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1245428762
LISA M VONWAHLDE
SAINT CHARLES, MO
NPI
1245428762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2007001396)
Enumeration Date
2007-10-10
Last Update Date
2007-10-10
Business Address
Mrs. LISA M VONWAHLDE LCSW
2800 W ELM ST
SAINT CHARLES, MO 63301-4618
Phone number: 314-787-5100
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Mailing Address
Mrs. LISA M VONWAHLDE LCSW
8631 DELMAR BLVD
SAINT LOUIS, MO 63124-1990
Phone number: 314-787-5100
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