Individual
JOSEPH PANGELINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9137 OLD BONHOMME RD, SAINT LOUIS, MO 63132-4417
(314) 997-7002
Mailing address
4135 RIPA AVE, SAINT LOUIS, MO 63125-2315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002470
MO
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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