Individual
MS. TINA MARIE MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7466 HAZEL AVE, MAPLEWOOD, MO 63143-3028
(314) 323-4032
(314) 383-5453
Mailing address
7466 HAZEL AVE, MAPLEWOOD, MO 63143-3028
(314) 323-4032
(314) 383-5453
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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