Individual
MS. SARA DEGENOVA SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
10820 SUNSET OFFICE DR, SUITE 108, SAINT LOUIS, MO 63127-1016
(314) 223-6340
Mailing address
223 MONTESANO PARK DR, IMPERIAL, MO 63052-2475
(314) 223-6340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005024370
MO
Other
Enumeration date
12/06/2007
Last updated
04/02/2008
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