Healthcare Provider Details

I. General information

NPI: 1053934976
Provider Name (Legal Business Name): KARA DAUMUELLER-MORRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N GRAND BLVD
SAINT LOUIS MO
63106-1621
US

IV. Provider business mailing address

4933 STATE ROUTE 13
FREEBURG IL
62243-3311
US

V. Phone/Fax

Practice location:
  • Phone: 314-652-4100
  • Fax: 314-845-5016
Mailing address:
  • Phone: 314-210-3532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2001008084
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: