Organization
TINA VILLALOBOS, MSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA VILLALOBOS MSW, LCSW (SOCIAL WORKER)
(314) 363-4885
Entity
Organization
Contact information
Practice address
8000 BONHOMME AVE STE 102, CLAYTON, MO 63105-3515
(314) 329-5140
Mailing address
3923 JUNIATA ST, SAINT LOUIS, MO 63116-3911
(314) 363-4885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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