Individual
EMILY BERNADINE LOAIZA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4075 S OLD HIGHWAY 94, SAINT CHARLES, MO 63304-2839
(636) 928-9757
Mailing address
4075 S OLD HIGHWAY 94, SAINT CHARLES, MO 63304-2839
(636) 928-9757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008006371
MO
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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