Individual
MARY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 S BRENTWOOD BLVD STE 315, BRENTWOOD, MO 63144-2329
(636) 224-1210
Mailing address
2510 S BRENTWOOD BLVD STE 315, BRENTWOOD, MO 63144-2329
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017027175
MO
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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