MALLORY C SAMPLE

SAINT LOUIS, MO
NPI1679831549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2012007447)
Enumeration Date2012-04-30
Last Update Date2016-06-01
Business Address
Mrs. MALLORY C SAMPLE MSW, LCSW
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108-1812
Phone number: 314-535-7911
Mailing Address
Mrs. MALLORY C SAMPLE MSW, LCSW
5609 DEVONSHIRE AVE
SAINT LOUIS, MO 63109-2872
Phone number: 314-494-1714
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