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1821002106
SUSAN M BANASHEK
SAINT LOUIS, MO
NPI
1821002106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 2004036263)
Enumeration Date
2006-07-29
Last Update Date
2024-04-25
Business Address
MS. SUSAN M BANASHEK LCSW
4444 FOREST PARK AVE STE 2600
SAINT LOUIS, MO 63108-2212
Phone number: 314-286-1700
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Mailing Address
MS. SUSAN M BANASHEK LCSW
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-286-1700
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