NATHANIEL TYLER BRACK

SAINT LOUIS, MO
NPI1427643840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MO  2019012771)
Enumeration Date2021-03-08
Last Update Date2021-09-28
Business Address
NATHANIEL TYLER BRACK LPC
10805 SUNSET OFFICE DR STE 210
SAINT LOUIS, MO 63127-1026
Phone number: 314-626-0962
Mailing Address
NATHANIEL TYLER BRACK LPC
10805 SUNSET OFFICE DR STE 201
SAINT LOUIS, MO 63127-1026
Phone number: 314-626-0962
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