MICHAEL HIGGINBOTHAM

SAINT LOUIS, MO
NPI1194050906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  004063)
Enumeration Date2009-10-13
Last Update Date2009-10-13
Business Address
-- MICHAEL HIGGINBOTHAM MSW
11582 TIVOLI LN
SAINT LOUIS, MO 63146-3500
Phone number: 314-692-7830
Mailing Address
-- MICHAEL HIGGINBOTHAM MSW
11582 TIVOLI LN
SAINT LOUIS, MO 63146-3500
Phone number: 314-692-7830
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