Individual
MRS. ALICE IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
343 S KIRKWOOD RD, SUITE 200, KIRKWOOD, MO 63122-6195
(314) 206-3400
Mailing address
1430 OLIVE ST, SUITE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2003032240
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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