Mr. Deangelo Leon Mardis Jr.
Mr. Deangelo Leon Mardis Jr. is a Clinical Social Worker in Saint Louis, Missouri. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3309 S Kingshighway BlvdSaint Louis, MO 63139-1101
Phone: (314) 206-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1104687219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2024 |
| Last updated in NPPES | January 17, 2024 |
| Certification date | January 17, 2024 |
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