Mary C Obowa in Saint Louis - Professional

Mary C Obowa - NPI 1902893589

Mary C Obowa is a Professional in Saint Louis, Missouri. Mary C Obowa practices all healthcare services and medical treatments related to Professional. The NPI Number for Mary C Obowa is 1902893589. The last update date is 2007-07-08.

Mary C Obowa's current location address is 12141 Ladue Rd, Saint Louis, Missouri. You can contact this provider via phone number 3143361097 and fax number 3148784524. The mailing address for Mary C Obowa is 12141 Ladue Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary C Obowa
Address 12141 Ladue Rd, Saint Louis, Missouri
Phone Number 3143361097
Fax Number 3148784524
Sole Proprietor X
Credentials LPC

NPI Number Detail

NPI Number 1902893589
Provider Enumeration Date 2005-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12141 Ladue Rd
City Saint Louis
State Missouri (MO)
Post Code 631418120
Phone Number 3143361097
Fax Number 3148784524

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No CS001545
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
118671 MO BLUE CROSS BLUE SHIELD

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FAQs about Mary C Obowa

What is the unique provider identifier assigned to Mary C Obowa?

The Mary C Obowa has been issued the NPI (National Provider Identifier) 1902893589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Mary C Obowa is geographically located?

The Mary C Obowa is physically situated at the following location: 12141 Ladue Rd, Saint Louis, MO, 631418120.

What is Mary C Obowa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary C Obowa is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902893589 to Mary C Obowa?

The Centers for Medicare & Medicaid Services originally issued the 1902893589 to Mary C Obowa on 2005-09-29.

As of what date was the information regarding Mary C Obowa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary C Obowa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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