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1548561046
TANYA M MARK
SAINT LOUIS, MO
NPI
1548561046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2010037457)
Enumeration Date
2010-11-15
Last Update Date
2014-12-30
Business Address
Ms. TANYA M MARK LPC
9666 OLIVE BLVD SUITE 400
SAINT LOUIS, MO 63132-3013
Phone number: 314-785-7274
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Mailing Address
Ms. TANYA M MARK LPC
6732 CREST AVE 1ST FLOOR
SAINT LOUIS, MO 63130-2506
Phone number: 314-704-3623
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