Individual
AMY THERESA QUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 CLARK ST, FLORISSANT, MO 63031-4619
(314) 707-3477
Mailing address
810 CLARK ST, FLORISSANT, MO 63031-4619
(314) 707-3477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014044615
MO
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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