| Barrett Enterprise | |
|
801 Woodlawn Ave O Fallon MO 63366-7646 | |
| (636) 206-2650 | |
| Not Available |
| Full Name | Barrett Enterprise |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 801 Woodlawn Ave, O Fallon, Missouri |
| Authorized Official Name and Position | Kenneth Anthony Barrett (THERAPIST) |
| Authorized Official Contact | 6362062650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barrett Enterprise 714 Crompton Ct Saint Louis MO 63126-1255 Ph: (314) 584-9754 | Barrett Enterprise 801 Woodlawn Ave O Fallon MO 63366-7646 Ph: (636) 206-2650 |
| NPI Number | 1265929335 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 04/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265929335 | NPI | - | NPPES |
| 1609059468 | Other | MO | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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