Most Relevant Information
Provider Data
| NPI Number: | 1003686825 |
| Provider Name: | MARY BETH E NEUFELD-WALL MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149026148 |
Most Important Dates
| Enumeration Date: | 01/03/2024 |
| Last Updated: | 01/03/2024 |
Provider Practice Location
505 S 8TH ST
EAST SAINT LOUIS
IL
622012919
Practice Location Phone/Fax
| Phone: | 6184827330 |
| Fax: |
Provider Mailing Location
6519 SCANLAN AVE
SAINT LOUIS
MO
631392403
Provider Mailing Phone/Fax
| Phone: | 6184827330 |
| Fax: |