Individual
MARY KATHRYN C MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
3109 S GRAND BLVD STE 200, SAINT LOUIS, MO 63118-1090
(561) 568-4455
Mailing address
7124 CAMBRIDGE AVE, UNIVERSITY CITY, MO 63130-2302
(561) 568-7455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2023017678
MO
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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