Individual
ANGELA OSBORNE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24 W MAIN ST STE 317, WENTZVILLE, MO 63385-1600
(636) 734-5980
Mailing address
47 BIRCH BROOK CT, O FALLON, MO 63366-4915
(636) 734-5980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2019009363
MO
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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