JUAN ANTHONY TABB

SAINT LOUIS, MO
NPI1356882054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MO  2017004506)
Enumeration Date2017-03-14
Last Update Date2019-05-03
Business Address
JUAN ANTHONY TABB LCSW
9572 CROCKETT DR
SAINT LOUIS, MO 63132-2144
Phone number: 314-269-7885
Mailing Address
JUAN ANTHONY TABB LCSW
9572 CROCKETT DR
SAINT LOUIS, MO 63132-2144
Phone number: 314-269-7885
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