Individual
MR. ROY C MARKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.S.W.
Contact information
Practice address
5524 GRANT PL, SAINT LOUIS, MO 63116-3304
(314) 721-2155
(314) 457-0611
Mailing address
5524 GRANT PL, SAINT LOUIS, MO 63116-3304
(314) 721-2155
(314) 457-0611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498301100
—
MO
Enumeration date
06/15/2006
Last updated
07/19/2021
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