Individual
LARINA JOLYNN DITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9200 WATSON RD, SUITE G101, SAINT LOUIS, MO 63126-1528
(314) 544-3800
(314) 843-0552
Mailing address
311 S MAIN ST, SUITE 100, O FALLON, MO 63366-2807
(636) 281-1990
(636) 281-1995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005019896
MO
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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