Provider Demographics
NPI:1639316888
Name:WOOLLEN, STEFANIE SANGER (DC, JD)
Entity type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:SANGER
Last Name:WOOLLEN
Suffix:
Gender:F
Credentials:DC, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7751 CARONDELET AVE
Mailing Address - Street 2:SUITE 606
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3316
Mailing Address - Country:US
Mailing Address - Phone:314-726-4600
Mailing Address - Fax:314-721-3992
Practice Address - Street 1:7751 CARONDELET AVE
Practice Address - Street 2:SUITE 606
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-3316
Practice Address - Country:US
Practice Address - Phone:314-726-4600
Practice Address - Fax:314-721-3992
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009000014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor