Individual
DANIELLE TENBRUGGENCATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
12061 DORSETT RD, MARYLAND HEIGHTS, MO 63043-2403
(314) 258-4482
Mailing address
12061 DORSETT RD, MARYLAND HEIGHTS, MO 63043-2403
(636) 236-4762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2014015299
MO
Other
Enumeration date
10/15/2014
Last updated
01/05/2016
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