Michele M Ennis

NPI #1184373847 in Florissant, Missouri

Provider Information

NPI Number: 1184373847
Entity Type: Individual
Name: Michele M Ennis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 21, 2022
Last Updated: Mar 21, 2022

Practice Location

Address: 1150 GRAHAM RD
City: Florissant
State: Missouri
ZIP Code: 63031-8077
Phone: (314) 683-7065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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