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1710314588
ANITA BAZILE
SAINT LOUIS, MO
NPI
1710314588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2007002473)
Enumeration Date
2013-10-10
Last Update Date
2013-10-12
Business Address
-- ANITA BAZILE LPC
6195 WASHINGTON BLVD
SAINT LOUIS, MO 63112-1207
Phone number: 314-805-0941
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Mailing Address
-- ANITA BAZILE LPC
12845 MEADOWDALE DR
SAINT LOUIS, MO 63138-1544
Phone number: 314-805-0941
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