Individual
MICHAEL DIBERNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 RUE SAINT FRANCOIS ST, STE D, FLORISSANT, MO 63031-4948
(314) 219-8883
Mailing address
1480 SAINT CATHERINE ST, FLORISSANT, MO 63033-3410
(425) 791-2550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016018137
MO
Other
Enumeration date
07/07/2016
Last updated
09/26/2019
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