ALEXIA NICOLE LATA

BRIDGETON, MO
NPI1629582143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-11-20
Last Update Date2017-11-20
Business Address
ALEXIA NICOLE LATA
3165 MCKELVEY RD
BRIDGETON, MO 63044-2550
Phone number: 314-206-3900
Mailing Address
ALEXIA NICOLE LATA
9643 LA JOLLA DR
SAINT LOUIS, MO 63132-2026
Phone number:
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