Individual
JULIA L PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4236 LINDELL BLVD, SAINT LOUIS, MO 63108-2948
(314) 997-3282
Mailing address
8141 GANNON AVE, SAINT LOUIS, MO 63130-3732
(646) 808-9361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
2012024493
MO
Other
Enumeration date
02/07/2011
Last updated
03/07/2013
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