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Individual

MR. TONY INGRASSIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MAC, CIT

Contact information

Practice address
1521 BOONES LICK RD, ST CHARLES, MO 63301-2332
(636) 373-0745
(636) 300-1155
Mailing address
1521 BOONES LICK RD, ST CHARLES, MO 63301-2332
(636) 373-0745
(636) 300-1155

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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