Individual
MARK PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
343 S KIRKWOOD RD, SAINT LOUIS, MO 63122-4015
(314) 775-4787
Mailing address
343 S KIRKWOOD RD, SAINT LOUIS, MO 63122-4015
(314) 775-4787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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