MAYRA VELASCO

EAST SAINT LOUIS, IL
NPI1720322662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
-- MAYRA VELASCO
5601 STATE ST
EAST SAINT LOUIS, IL 62203-1346
Phone number: 618-213-3170
Mailing Address
-- MAYRA VELASCO
5601 STATE STREET
E. ST. LOUIS, IL 62203-0204
Phone number: 618-213-3170