GENEVIEVE ANNE DISTASIO

SAINT LOUIS, MO
NPI1407708340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   004717)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IL  149.002027)
Enumeration Date2026-02-12
Last Update Date2026-02-12
Business Address
Ms. GENEVIEVE ANNE DISTASIO
5367 PERSHING AVE APT 4
SAINT LOUIS, MO 63112-1785
Phone number: 314-606-8837
Mailing Address
Ms. GENEVIEVE ANNE DISTASIO
5367 PERSHING AVE APT 4
SAINT LOUIS, MO 63112-1785
Phone number: 314-606-8837