Individual
SAMANTHA SIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
540 GARDEN AVE, SAINT LOUIS, MO 63119-3248
(314) 246-7030
Mailing address
540 GARDEN AVE, SAINT LOUIS, MO 63119-3248
(314) 246-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016033198
MO
Other
Enumeration date
02/06/2018
Last updated
03/17/2018
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