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1194050906
MICHAEL HIGGINBOTHAM
SAINT LOUIS, MO
NPI
1194050906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 004063)
Enumeration Date
2009-10-13
Last Update Date
2009-10-13
Business Address
-- MICHAEL HIGGINBOTHAM MSW
11582 TIVOLI LN
SAINT LOUIS, MO 63146-3500
Phone number: 314-692-7830
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Mailing Address
-- MICHAEL HIGGINBOTHAM MSW
11582 TIVOLI LN
SAINT LOUIS, MO 63146-3500
Phone number: 314-692-7830
Copy
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