TERRELL BORUM

SAINT LOUIS, MO
NPI1720639784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MO  2018027254)
Enumeration Date2019-09-21
Last Update Date2019-09-21
Business Address
TERRELL BORUM LCSW
8434 PAGE AVE
SAINT LOUIS, MO 63130-1046
Phone number: 314-724-5008
Mailing Address
TERRELL BORUM LCSW
45 PROVINCIAL CT
SAINT LOUIS, MO 63122-1506
Phone number: 314-724-5008
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