Individual
CAROL LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LAKE PEMBROKE DR, SAINT LOUIS, MO 63135-1276
(314) 521-1972
Mailing address
6 LAKE PEMBROKE DR, SAINT LOUIS, MO 63135-1276
(314) 521-1972
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2012012594
MO
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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