Most Relevant Information
Provider Data
| NPI Number: | 1003546938 |
| Provider Name: | PATRICIA ANNE BACA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2022014963 |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS
MO
631418274
Practice Location Phone/Fax
| Phone: | 3142517840 |
| Fax: |
Provider Mailing Location
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS
MO
631418274
Provider Mailing Phone/Fax
| Phone: | 3142517840 |
| Fax: |