Individual
MRS. KAMI-ANN GIWA-AGBOMEIRELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.L.P.C.
Contact information
Practice address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
(314) 503-1746
Mailing address
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107-3919
(314) 503-1746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015011211
MO
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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