Provider Information for 1871629071
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ELIZABETH ANN ALLEN L.C.S.W.
Sex: Female
NPI: 1871629071
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1871629071 | ||||||||
| Enumeration Date | 2007-02-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1104 LIBERTY GARDENS CT FLORISSANT, MO 63031-1948 United States Phone: 314-830-1665 | Fax: | ||||||||
| Primary Practice Address | 330 1ST CAPITOL DR SUITE 390 SAINT CHARLES, MO 63301-2835 United States Phone: 636-949-5760 | Fax: | ||||||||
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