Individual
ALISON BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132-1716
(314) 968-2350
Mailing address
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132-1716
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2018035960
MO
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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