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Organization
ULTIMATE PLACES
Active
Organization
ULTIMATE PLACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANIKA HANNAH LCSW (OWNER)
(314) 725-0551
Entity
Organization
Contact information
Practice address
8147 DELMAR BLVD, SUITE 217, UNIVERSITY CITY, MO 63130-3735
(314) 725-0551
Mailing address
8147 DELMAR BLVD, SUITE 217, UNIVERSITY CITY, MO 63130-3735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000325
MO
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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