Individual
MS. ROSEMARY PATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 BIDDLE ST, MURPHY O'FALLON HEALTH CLINIC, SAINT LOUIS, MO 63106-3454
(314) 814-8632
(314) 814-8542
Mailing address
6418 LAKE PADDOCK DR, FLORISSANT, MO 63033-4927
(314) 775-9202
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
04101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004101
LICENSED CLINICAL SW
MO
Enumeration date
04/19/2007
Last updated
07/08/2007
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