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1356566293
CAROL JO MACK
SAINT LOUIS, MO
NPI
1356566293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2003032210)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mrs. CAROL JO MACK LCSW
8631 DELMAR BLVD
SAINT LOUIS, MO 63124-1990
Phone number: 314-787-5100
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Mailing Address
Mrs. CAROL JO MACK LCSW
2800 ELM ST
SAINT CHARLES, MO 63301-4618
Phone number: 314-787-5100
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