Individual
ZANE ALAN MAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 S MAIN ST STE 100, O FALLON, MO 63366-2807
(636) 281-1990
Mailing address
224 SUNSET VILLA CIR, O FALLON, MO 63366-2281
(618) 979-0655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2017038616
MO
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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