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1124054804
TINA M DALE
SAINT LOUIS, MO
NPI
1124054804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2004010098)
Enumeration Date
2006-06-24
Last Update Date
2007-07-08
Business Address
Miss TINA M DALE LCSW
8420 DELMAR BLVD STE 209
SAINT LOUIS, MO 63124-2177
Phone number: 314-477-8751
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Mailing Address
Miss TINA M DALE LCSW
8420 DELMAR BLVD STE 209
SAINT LOUIS, MO 63124-2177
Phone number: 314-477-8751
Copy
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