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Stacey Ederer
NPI 1225781115 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6617 E Yorkshire Dr
Saint Louis, MO 63123 - Phone
- (314) 402-4677
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-31
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