Mareschal, Glenda Marie
Mareschal, Glenda Marie is an individual health care provider with primary practice located at 500 Medical Dr , Wentzville MO 63385-3421. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mareschal, Glenda Marie can be contacted via phone (636) 688-9907.Contact Information
Primary practice address
500 Medical Dr
Wentzville MO 63385-3421
Phone: (636) 688-9907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2011027864 | Missouri |
Profile Details
| NPI number | 1720552920 |
|---|---|
| LBN Legal business name | Mareschal, Glenda Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2019 |
| Last updated | Jan 22nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720552920 | NPPES |
| Missouri | MEDICAID | 431343281 |
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