Individual
MICHELLE SUZANNE PEROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 217-6980
Mailing address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 217-6980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2011036715
MO
Other
Enumeration date
09/18/2023
Last updated
07/21/2024
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