Individual
DINA MARIE VITOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 ELM ST STE 105, WASHINGTON, MO 63090-2340
(636) 390-4422
(636) 390-4449
Mailing address
517 STAGECOACH RUN, UNION, MO 63084
(636) 390-4422
(636) 390-4449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW001074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493460307
—
MO
Enumeration date
09/28/2006
Last updated
11/24/2025
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