IndividualActive
Luz Bwanga Mabonghot
NPI 1861295404 · School Social Worker · Saint Louis, MO
Provider details
- NPI number
- 1861295404
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Phone: (314) 267-5967
Approximate (ZIP-level) locationGet directions
Mailing address
1801 San Miguel Dr
Saint Charles, MO 63303-3251
Registry dates
- Enumerated
- 2025-03-29
- Last updated
- 2025-03-29
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.