Organization
ONE2ANOTHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE B THOMAS-OTIS DSP (OWNER/DIRECTOR)
(314) 585-2057
Entity
Organization
Contact information
Practice address
9628 MIDLAND BLVD STE 1, SAINT LOUIS, MO 63114-3353
(314) 339-4982
Mailing address
9628 MIDLAND BLVD STE 1, SAINT LOUIS, MO 63114-3353
(314) 339-4982
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MO
Enumeration date
12/13/2022
Last updated
12/13/2022
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