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1851003552
SAM HACKETT
SAINT LOUIS, MO
NPI
1851003552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2020014384)
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
SAM HACKETT PLPC
6753 ODELL ST
SAINT LOUIS, MO 63139-2532
Phone number: 314-604-5590
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Mailing Address
SAM HACKETT PLPC
6753 ODELL ST
SAINT LOUIS, MO 63139-2532
Phone number: 314-604-5590
Copy
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