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NPI Code Detail

MEDICARE: CARLA R. MUELLER MSW/LCSW

MEDICARE: CARLA R. MUELLER MSW/LCSW
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 Worker001523MO

General Provider Information

NPI Number : 1851493548
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA R. MUELLER MSW/LCSW
Provider Business Mailing Address
First Line : 40 ANN DR
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-2226
Country : US
Telephone Number : 314-304-5456
Fax Number :
Provider Business Practice Location Address
First Line : 9735 LANDMARK PARKWAY DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63127-1646
Country : US
Telephone Number : 314-842-6223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/08/2007

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