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Individual

MR. MARK L TOBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
11456 OLIVE BLVD, SUITE 210, ST LOUIS, MO 63141
(314) 997-1403
(314) 997-1365
Mailing address
11456 OLIVE BLVD, SUITE 210, ST LOUIS, MO 63141
(314) 997-1403
(314) 997-1365

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001063
MO

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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