Individual
ANGELO HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 MINNESOTA AVE, SAINT LOUIS, MO 63111-3336
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/04/2016
Last updated
01/23/2019
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