Individual
MRS. DARLETTA L TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12451 NORMA LN, SAINT LOUIS, MO 63138-1461
(314) 335-0253
(314) 741-0139
Mailing address
12451 NORMA LN, SAINT LOUIS, MO 63138-1461
(314) 335-0253
(314) 741-0139
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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