Individual
GENICA CHAIRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 WOODRIDGE DR, SAINT PETERS, MO 63376-7555
(314) 604-4908
Mailing address
2302 WOODRIDGE DR, SAINT PETERS, MO 63376-7555
(314) 604-4908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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