Individual
MARIA LEIDEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3228 IVANHOE AVE, SAINT LOUIS, MO 63139-2226
(314) 530-9106
Mailing address
4343 WYOMING ST, SAINT LOUIS, MO 63116-1835
(314) 276-0032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022040478
MO
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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