Individual
MS. DIANE COGORNO CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCSW
Contact information
Practice address
7349 DALE AVE, SAINT LOUIS, MO 63117-2241
(314) 766-0063
Mailing address
7349 DALE AVE, SAINT LOUIS, MO 63117-2241
(314) 766-0063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000865
MO
1041C0700X
Clinical Social Worker
003436
MO
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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