MICHAEL ANTHONY RUBERTON

SAINT LOUIS, MO
NPI1528660503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  001531)
Enumeration Date2020-11-13
Last Update Date2020-11-13
Business Address
MICHAEL ANTHONY RUBERTON
10542 COPPERFIELD DR
SAINT LOUIS, MO 63123-5002
Phone number: 314-852-4530
Mailing Address
MICHAEL ANTHONY RUBERTON
10542 COPPERFIELD DR
SAINT LOUIS, MO 63123-5002
Phone number: 314-852-4530