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1487678033
DWAINE DALE TIPTON
SAINT LOUIS, MO
NPI
1487678033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 2005005203)
Enumeration Date
2006-07-27
Last Update Date
2023-08-10
Business Address
Mr. DWAINE DALE TIPTON MSW, LCSW
10094 LITZSINGER RD
SAINT LOUIS, MO 63124-1132
Phone number: 314-989-8800
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Mailing Address
Mr. DWAINE DALE TIPTON MSW, LCSW
836 BROCKWELL DR
DARDENNE PRAIRIE, MO 63368-8370
Phone number: 314-779-7040
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