Individual
MARILYNN ASHLEY MINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 845-5016
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(143) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77118
CA
Other
Enumeration date
06/14/2017
Last updated
08/05/2024
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