Individual
SALICIA ALANA MAZERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, ATR, PLPC
Contact information
Practice address
4172 ITASKA ST, SAINT LOUIS, MO 63116-2455
(314) 329-5374
Mailing address
4172 ITASKA ST, SAINT LOUIS, MO 63116-2455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015007563
MO
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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