Individual
AGATA FREEDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 WESTMINISTER PLACE, ST. LOUIS, MO 63108
(314) 623-6598
Mailing address
5616 S MAGNOLIA AVE, SAINT LOUIS, MO 63139-1642
(219) 801-6945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015003586
MO
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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