Search › Missouri › 1041C0700X
Maryanne Mica, MSW
NPI 1205079340 · on the registry since 2009 · sole proprietor
Practice
- Address
- 136 Horseshoe Dr
Saint Louis, MO 63122 - Phone
- (314) 800-8747
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri