Individual
DESIRAE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
11166 TESSON FERRY RD STE 300, SAINT LOUIS, MO 63123-6966
(314) 898-0102
(314) 842-2552
Mailing address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1489
(314) 533-8200
(314) 842-2552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024007349
MO
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
About Stedi
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