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Individual

ANITA B POLZIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
4066 DUNNICA AVE, SAINT LOUIS, MO 63116-3510
(636) 224-1700
(314) 535-5917
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 246-1210
(636) 246-1008

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022022871
MO
101YP2500X
Professional Counselor
5961
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100746170G
OK
Enumeration date
04/28/2014
Last updated
03/18/2026
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