Individual
MARIA ROSE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4760
Mailing address
5708 LINDENWOOD AVE, SAINT LOUIS, MO 63109-1548
(314) 920-0899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013002708
MO
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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