MICKEY OWEN

SAINT LOUIS, MO
NPI1376929786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  003410)
Enumeration Date2015-08-07
Last Update Date2017-03-15
Business Address
-- MICKEY OWEN LCSW
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-7236
Mailing Address
-- MICKEY OWEN LCSW
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-7236
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