POSITIVE FAMILY DYNAMICS,PC
Marriage and Family Therapists at Dorsett Rd, Hazelwood, MO

License number
Missouri PY01089
Category
Social Work
Type
Health Service
License number
Missouri 300075
Category
Marriage and Family Therapists
Type
Marriage & Family Therapist
Owner
Name: DR. ALICE G VLIETSTRA PH.D.
Title: OWNER
Phone: (314) 729-2855
Address
Address 2
12131 Dorsett Rd STE 220, Hazelwood, MO 63043
3042 Andover Dr, Saint Louis, MO 63121
National Provider ID: 1568732550
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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POSITIVE FAMILY DYNAMICS, PC

12131 Dorsett Rd, Maryland Heights, MO 63043

Registration:
Jul 21, 1994
State ID:
P00852928
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Vlietstra , Alice G, Ph.d,3042 Andover Dr, Saint Louis, MO 63121 (Physical)

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