Individual
MR. MICHAEL ANTHONY MIDIRI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
220 W ARGONNE DR STE 200, KIRKWOOD, MO 63122-4237
(314) 474-7516
Mailing address
220 W ARGONNE DR STE 200, KIRKWOOD, MO 63122-4237
(314) 474-7516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009023260
MO
Other
Enumeration date
02/08/2017
Last updated
11/01/2023
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