Individual
MARY BETH PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.L.P.C.
Contact information
Practice address
1260 SAINT PAUL RD, BALLWIN, MO 63021-8207
(636) 386-6611
Mailing address
9011 WRENWOOD LN, SAINT LOUIS, MO 63144-1601
(208) 250-2724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011033845
MO
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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