Individual
MARIELLE COUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
2000 BELLEVUE AVE APT V, MAPLEWOOD, MO 63143-1336
(636) 633-1383
Mailing address
2000 BELLEVUE AVE APT V, MAPLEWOOD, MO 63143-1336
(636) 633-1383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2015035254
MO
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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