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Organization
ST LOUIS INDIVIDUAL AND FAMILY THERAPY LLC
Active
Organization
ST LOUIS INDIVIDUAL AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA DALAKOS LCSW (OWNER)
(314) 252-0392
Entity
Organization
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 555, RICHMOND HEIGHTS, MO 63117-1265
(314) 252-0392
Mailing address
5409 CHAPELFORD LN, SAINT LOUIS, MO 63119-5021
(314) 252-0392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
03/31/2020
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