Individual
NICOLE AINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 469-4908
Mailing address
12647 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141-6345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007038815
MO
Other
Enumeration date
08/07/2018
Last updated
03/15/2022
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