| Provident Inc. | |
|
3675 W Outer Rd Arnold MO 63010-5232 | |
| (314) 898-0102 | |
| (636) 296-3249 |
| Full Name | Provident Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3675 W Outer Rd, Arnold, Missouri |
| Authorized Official Name and Position | Valerie Moore (INSURANCE SPECIALIST) |
| Authorized Official Contact | 3143716500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provident Inc. 2650 Olive St Saint Louis MO 63103-1424 Ph: (314) 371-6500 | Provident Inc. 3675 W Outer Rd Arnold MO 63010-5232 Ph: (314) 898-0102 |
| NPI Number | 1427231315 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427231315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002589 (Missouri) | Primary |
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