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1104382118
VINE LIFE COUNSELING
SAINT LOUIS, MO
NPI
1104382118
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Entity Type
Organization
Authorized Contact
ALPHONSO IVY
Owner Counselor
314-420-4733
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
VINE LIFE COUNSELING
2310 S GRAND BLVD
SAINT LOUIS, MO 63104-1702
Phone number: 314-420-4733
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Mailing Address
VINE LIFE COUNSELING
2310 S GRAND BLVD
SAINT LOUIS, MO 63104-1702
Phone number: 314-420-4733
Copy
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