Individual
NICOLE FRANCES VINCIGUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4787
(314) 919-4887
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4787
(314) 919-4887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2018032486
MO
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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