MICHAEL STAKE

SAINT LOUIS, MO
NPI1639222599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MO  00191)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
MICHAEL STAKE
1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 63133-1325
Phone number: 314-877-0589
Mailing Address
MICHAEL STAKE
5351 DELMAR BLVD MAILSTOP 17
SAINT LOUIS, MO 63112-3146
Phone number:
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