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Search › Missouri › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Ebony Wilson

NPI 1013334622 · on the registry since 2014 · sole proprietor

Practice

Address
3514 Blair Ave
Saint Louis, MO 63107
Phone
(314) 216-0088

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Female
Record last updated
2014-03-20

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