Life Well Balanced Llc
Clinical Social Worker · O Fallon, MO
At a glance
103 Lincoln St, O Fallon, MO 63366-1603
NPPES record updated Apr 11, 2018. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
103 Lincoln StO Fallon, MO 63366-1603
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Apr 11, 2018
- Record updated
- Apr 11, 2018
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Clinical Social Worker
1041C0700X · Primary
License reported: 2013045632 MO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
103 Lincoln StO Fallon, MO 63366-1603
- Phone
- (636) 443-3704
- Fax
- (636) 294-0530
Mailing address
30 OAK VALLEY DRSAINT PETERS, MO 633763721
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