Individual
ROBIN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 LOCUST ST, SAINT LOUIS, MO 63101-1103
(314) 240-5104
Mailing address
4400 MANCHESTER AVE APT 301, SAINT LOUIS, MO 63110-2149
(314) 265-6852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016042478
MO
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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