Individual
MS. CAROLYN ANN LAFAVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1201 BELLEVUE AVE, SAINT LOUIS, MO 63117
(314) 647-3558
Mailing address
1315 LAVEN DEL LANE, SAINT LOUIS, MO 63122
(314) 909-1137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005031493
MO
Other
Enumeration date
07/25/2006
Last updated
09/04/2018
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