ANDREA NISSENBAUM

SAINT LOUIS, MO
NPI1861910754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2021008193)
Enumeration Date2017-08-31
Last Update Date2022-11-28
Business Address
ANDREA NISSENBAUM
1430 OLIVE ST STE 500
SAINT LOUIS, MO 63103-2377
Phone number: 314-453-9851
Mailing Address
ANDREA NISSENBAUM
4106 OLIVE ST
SAINT LOUIS, MO 63108-3126
Phone number: 314-703-8410
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