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NPI Code Detail

MEDICARE: HELEN IRENE THURMAN LCSW, PHD

MEDICARE: HELEN IRENE THURMAN LCSW, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1780147181
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN IRENE THURMAN LCSW, PHD
Provider Business Mailing Address
First Line : 4923 MAFFITT PL
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-1726
Country : US
Telephone Number : 404-250-2405
Fax Number :
Provider Business Practice Location Address
First Line : 1601 OLD SOUTH RIVER RD
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-4120
Country : US
Telephone Number : 636-224-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2019
Last Update Date : 09/02/2024

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